全胸膜外胸骨抬高术用于儿童漏斗胸的矫治
Total extrapleura sternal elevation for the correction of pectus excavatum in children.
作者信息
Liu Shu-Li, Li Long, Cheng Wei, Hou Wen-Ying, Huang Liu-Ming, Wang Wen-Ya, Zhang Jun, Cui Long, Xie Hua-Wei
机构信息
Department of Pediatric Surgery, Peking University First Hospital, Beijing, China.
出版信息
J Laparoendosc Adv Surg Tech A. 2009 Apr;19 Suppl 1:S223-5. doi: 10.1089/lap.2008.0117.supp.
PURPOSE
The aim of this study was to evaluate the efficacy and safety of the thoracoscopic total extrapleural approach of the Nuss procedure for the correction of pectus excavatum in children.
MATERIALS AND METHODS
Under thoracoscopic guidance, an extrapleural tunnel was created by using a blunt dissector via a right thoracic incision. A steel bar was inserted in the entirely extrapleural tunnel. The bar was turned and fixed as in the standard Nuss procedure.
RESULTS
The operations were completed successfully in all patients. The operating time ranged from 35 to 50 minutes (median, 45). The intraoperative blood loss was 2 to 3 mL. There was no pneumothorax or hydrothoraxin our series. All patients were followed up for 2-6 months, and the surgical outcomes were excellent.
CONCLUSIONS
The extrapleura Nuss procedure under thoracoscopic guidance is a safe and less traumatic procedure for the correction of pectus excavatum.
目的
本研究旨在评估胸腔镜辅助下Nuss手术全胸膜外入路矫正小儿漏斗胸的疗效及安全性。
材料与方法
在胸腔镜引导下，经右胸切口用钝性剥离器建立胸膜外隧道。将一根钢棒插入全胸膜外隧道。按标准Nuss手术方式转动并固定钢棒。
结果
所有患者手术均成功完成。手术时间为35至50分钟（中位数为45分钟）。术中失血2至3毫升。本组无气胸或胸腔积液发生。所有患者随访2至6个月，手术效果良好。
结论
胸腔镜引导下胸膜外Nuss手术是一种安全且创伤较小的漏斗胸矫正手术。
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