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1、改良Nuss手术治疗小儿漏斗胸王刚吴春潘征夏李洪波李勇刚代江涛(重庆医科大学附屈儿童医院心胸外科400014)摘要：目的总结改良微创Nuss手术治疗小儿漏斗胸的的疗效和安全性。方法2006年6月至2009年3M，采用非胸腔镜微创Nuss手术治疗小儿漏斗胸120例，年龄3岁~17岁8月。轻度11例，中重度94例，极重度15例。对称型83例，非对称型34例，复发性3例。结果120例患儿均顺利完成手术，手术时间30〜60分钟，术屮出血平均少于10ml,术后住院天数平均7天，无一例输血。术后并发症4例气胸，2例左下肺不张，3例右
2、肺中下叶不张并少许积液，皮下积液积气3例，钢板移位2例。116例优，4例良好。全部病例获随访，随访时间1月~33月，矫形效果好，活动量正常，其中一例术后25月取出钢板，矫形效果保持优良。结论改良微创Nuss手术(菲胸腔镜)治疗小儿漏斗胸简单，易行，安全，效果好。关键词：Nuss手术，漏斗胸，儿童中国法分类号：R655.1；R687.32；R726ModifiedNussProcedureforPectusExcavatumonPediatricPatientsWANGGang,WUChun,PANZheng-xia,LI
3、Hong-bo,LiYong-gang.DepartmentofTlioracicandCardiovascularSurgery,ChongqingUniversityofMedicalScience,Chongqing400014,ChinaAbstract：ObjectivToaccesstheefficacyandsafetyofthemodifiedNussprocedureforreparingpectusexcavatuminchildren.MethodsThedataof120pectusexcavat
4、umpatientswhoreceivedthemodifiedNussprocedurewithoutthoracoscopefromJune2006toMarch2009,theagerangedfrom3to17.8years.11caseswerelight,94middle-severityand15very-severity.83patientsweresymmetricpectusexcavatum,34patientswereasymmetricpectusexcavatum,3patientswerep
5、alindromiapectusexcavatum・ResultsTheprocedurewassuccessfullycompletedinall120cases.Theoperatingtimewas30〜60min.Theaveragebleedinginoperationwaslessthan10ml.Theaveragehospitaldayofpost-operativewas7days.Noneacceptedblood-transfusion.Thecomplicationofpost-operative
6、includedaeropleurain4cases,2bottomleftpulmonaryclosure,3pulmonesdextermeta-lowerlobepulmonaryclosureandbitfluidify.3subcutaneousemphysemaandfluid,2bardislocation.116caseswereexcellentand4casewaegood・Allpatientswerefollowedup1to33months,theorthopediceffectwereexce
7、llent,theactivityabilitywerenormal,Thebarhadbeenremovedin1patient25monthsaftersurgerywhostillkeptinexcellentresults.ConclusionThemodifiedNussprocedure(withoutthoracoscope)forreparingpectusexcavatuminchildrenissimple,easytobeperformedandsafe・Theeffectisexcellent.K
8、eywords：Nussprocedure;Pectusexcavatum;children作者简介：王刚(1973-),男，重庆人，汉族，硕士，主治医师，从事小儿心胸外科疾病研究。电话：13500373586,E-mail:doctorwg@gmail.com通讯作者：吴春(1963-),男，重庆人,汉族,硕士,副
