CAJ | 학술논문

目的总结胸腔镜下微创漏斗胸矫正(Nuss手术)治疗漏斗胸的临床经验.方法 2006年12月至2008年7月,我院17例漏斗胸患者采用胸腔镜下Nuss手术进行矫治.分析这些患者的临床资料.结果 17例均顺利完成手术,术中无并发症.术后随访6～20个月.15例钢板无松动,位置良好,矫正效果满意,2例患儿出现轻度移位.其他并发症包括1例术后感染,加强抗感染后痊愈;1例出现皮下积液,经穿刺抽液后痊愈;1例出现植入物反应.结论胸腔镜Nuss手术治疗漏斗胸安全有效,适用于对称性或不对称性漏斗胸患者.应注意预防感染和防止钢板移位.
목적 총결흉강경하미창루두흉교정(Nuss수술)치료루두흉적림상경험.방법 2006년12월지2008년7월,아원17례루두흉환자채용흉강경하Nuss수술진행교치.분석저사환자적림상자료.결과 17례균순리완성수술,술중무병발증.술후수방6～20개월.15례강판무송동,위치량호,교정효과만의,2례환인출현경도이위.기타병발증포괄1례술후감염,가강항감염후전유;1례출현피하적액,경천자추액후전유;1례출현식입물반응.결론 흉강경Nuss수술치료루두흉안전유효,괄용우대칭성혹불대칭성루두흉환자.응주의예방감염화방지강판이위.
Objective To summariz clinical experience and preliminary results of minimally invasive operationfor pectus excavatum repairing (Nnss procedure).Methods Seventeen patiens with pectus excavatum were surgically corrected by Nuss procedure during November 2006 to July 2008.Results Fifteen patients had complete procedure successfully without complications.The median operation time was 80 minutes (range from 50 to 185 minutes).The blood loss was less than 10 ml.There were not mediastinal injury,bleeding complications and requirement of chest tube insertion postoperatively.The mean length of hospital stay was 7.2 days.The follow-up period ranged from 6 to 20 months.There was no looseness of internal fixation and steel plate was well located with satisfactory result in 13 cases.2 cases had slight displacement.1 case had postoperative infection.Subcutaneous liquid occurred in one case and was cured by puncture and allergic response occurred.Conclusions The Nuss procedure is safe and effective.It is a new approach for asymmetric or symmetry pectus excavatum patients.Attention should be paid to prevent infection and displacement of steel plate.