CAJ | 학술논문

目的总结胸腔镜辅助下Nuss手术治疗漏斗胸的经验.方法 Nuss手术治疗漏斗胸21例,其中对称型10例,不对称型11例.均在胸腔镜辅助下完成微创手术.结果 21例均顺利完成手术,平均手术时间(70.7±9.6)min,术中平均出血量(20.3±10.9)ml,术后平均住院时间(5.3±1.1)d,术后平均疼痛时问(6.9±4.0)d.优良率81.0%(17/21),其中对称型漏斗胸术后效果优良率为90.0%(9/10),不对称型为72.7%(8/11).结论 Nuss手术具有切口隐蔽、操作简便、手术时间短、术中出血少、创伤小等优点,尤其适用于广泛对称型漏斗胸.
목적 총결흉강경보조하Nuss수술치료루두흉적경험.방법 Nuss수술치료루두흉21례,기중대칭형10례,불대칭형11례.균재흉강경보조하완성미창수술.결과 21례균순리완성수술,평균수술시간(70.7±9.6)min,술중평균출혈량(20.3±10.9)ml,술후평균주원시간(5.3±1.1)d,술후평균동통시문(6.9±4.0)d.우량솔81.0%(17/21),기중대칭형루두흉술후효과우량솔위90.0%(9/10),불대칭형위72.7%(8/11).결론 Nuss수술구유절구은폐、조작간편、수술시간단、술중출혈소、창상소등우점,우기괄용우엄범대칭형루두흉.
Objective To summarize the experiences of Nuss procedure with thoracoscope for repairing pectus excavatum.Methods 21 cases of pectus excavatum were treated by Nuss procedure with thoracoscope.In these patients,10 had symmetric pectus excavatum and 11 had asymmetric one.Results The operation in all patients were successful.The mean operating time wag(70.7±9.6)min and the mean intraoperative blood loss was(20.3±10.9)ml.The average hospital length of stay was(5.3±1.1)days,the average durante dolors was(6.9±4.0)days.The exceUent rate was 81.0%(17/21),including 90.0%(9/10)in symmetric pectus excavatum and 72.7%(8/11)in asymmetric pectus cxcavatum.Conclusion Nuss procedure is easy to perform,with minimal invasion,short operating time,and less blood loss.Nuss procedure is suitable for the symmetric pectus excavatum.