CAJ | 학술논문

目的探讨非胸腔镜辅助剑突下小切口微创漏斗胸矫治术的手术方法及疗效.方法回顾性分析12例行非胸腔镜辅助剑突下小切口微创漏斗胸矫治术患儿的临床资料,分析该术式的手术操作时间、术中出血量、术后并发症、术后住院时间及疗效.结果 12例均顺利完成手术.手术操作时间(35 ±8) min;术中出血量5～ 20 mL,平均10 mL;术后1例患者出现少量气胸并发症;术后住院时间3～7d,平均5d;术后疗效评定12例均为优.结论非胸腔镜辅助剑突下小切口微创漏斗胸矫治术除具有微创、美观、效果可靠等优势外,同时可以简化手术步骤,利于基层医院开展.
목적 탐토비흉강경보조검돌하소절구미창루두흉교치술적수술방법급료효.방법 회고성분석12례행비흉강경보조검돌하소절구미창루두흉교치술환인적림상자료,분석해술식적수술조작시간、술중출혈량、술후병발증、술후주원시간급료효.결과 12례균순리완성수술.수술조작시간(35 ±8) min;술중출혈량5～ 20 mL,평균10 mL;술후1례환자출현소량기흉병발증;술후주원시간3～7d,평균5d;술후료효평정12례균위우.결론 비흉강경보조검돌하소절구미창루두흉교치술제구유미창、미관、효과가고등우세외,동시가이간화수술보취,리우기층의원개전.
Objective To explore the operation method and curative effect of small incision minimally invasivepectus excavatum with non thoracoscopic xiphoid.Methods Clinical data of 12 cases with small incision minimally invasive pectus excavatum non thoracoscopic subxiphoid were retrospectively analyzed The index operation time,operation of the surgical bleeding,postoperative complications,postoperative hospitalization time and curative effect evaluation etc,were analyzed.Results 12 patients were successfully completed surgery.The time of operation was (35 ± 8)min;intraoperative blood loss was 5-20 mL,average 10mL;1 patients had pneumothorax postoperative complications;postoperative hospitalization time 3-7day,average 5days;postoperative effect evaluation were excellent in 12 cases.Conclusion Non thoracoscope assisted small incision under xiphoid minimally invasive pectus excavatum surgery is minimally invasive,beautiful appearance,reliable effect and other advantages,and can simplify the operation steps for primary hospital.