Abstract:

【Abstract】 Objective To investigate the efficacy and security of thoracoscopic Nuss procedure for treatment of children with pectus excavatum. Methods From April 2008 to December 2012, ten patients with pectus excavatum were treated with thoracoscopic Nuss procedure. Through two small incisions in the side of the chest,a concave steel bar was slipped under the sternum, through the incisions in the side of the chest..The thoracoscope was used to help guide the bar. Results The operation was completed successfully in all of 10 cases,.and a support plate was reserved to support the bar and keep it in place..The operative time was 40-105 min,.average 65 min,.the average amount of bleeding during surgery 9.5 mL..No severe complications occurred. Through the followed-up of 3 to 36 months,.the recent excellent rate was 100%. Conclusion Thoracoscopic Nuss procedure is effective and safe for children with funnel chest,.but the long-term effects need to be further observed.

Key words: Pectus excavatum, Nuss procedure, Thoracoscopy

摘要：

【摘要】 目的 探讨胸腔镜下Nuss手术治疗小儿漏斗胸的疗效及安全性。方法 2008年4月~2012年9月对10例漏斗胸进行胸腔镜下Nuss手术。结果 10例手术均成功,均留置1根支撑钢板。手术时间40~105 mim,平均65 min,术中平均出血量9.5 mL,患者均无严重并发症发生,胸廓畸形明显改善。随诊3月~36月,近期优良率100%。结论 胸腔镜下Nuss手术治疗小儿漏斗胸安全可靠,近期效果满意,远期效果还需进一步观察。

关键词: 漏斗胸, Nuss手术, 胸腔镜