Nuss手术矫正成年人漏斗胸22例临床分析

目的总结成年漏斗胸患者行Nuss矫正术的临床经验。方法收集我科2008年7月—2009年8月行Nuss手术的22例成年漏斗胸患者,总结分析临床诊治资料。结果 (1)2例患者放2根支撑板,20例放1根,术中平均出血量(22.4±11.2)ml,手术时间为(75±21.3)min,术后卧床时间为(3.95±1.23)d,住院时间(8.9±3.1)d;(2)手术效果:患者心肺压迫受限症状消失的有效率100%;外形完全正常8例,占36%,明显改善14例,占64%;(3)发生支撑板移位2例(9%)、胸腔积液2例(9%)、气胸1例(4.4%)。结论成年漏斗胸患者接受Nuss手术能达到较好的效果,但难度较幼儿增大,由于其微创的特点,较传统术式有优势。

Clinical investigation of Nuss surgery for adult patient with pectus excavatum-22 cases report

Objective To summarize clinical effect of Nuss technique for adult PE patient.Methods 22 adult PE patients for Nuss surgery enrolled in our department during the period of 2008.7-2009.8 were analyzed.Results(1)Among all patients,2 received 2 bars each,while others received only 1 for every one.average blood loss during surgery were(22.4±11.2)ml,average time during surgery were(75±21.3)min,average time of stay-in-bed after surgery and stay in hospital were(3.95±1.23)days、(8.9±3.1)days.(2)symptoms due to oppression by pectus excavatum disappeared after surgery,the effective rate was 100%;8 patients' chest wall deformity were remedied as normal,the effective rate was 36%;while other 14 patients' deformity were greatly improved,the effective rate was 64%.(3)Complication: bar displacement for 2 patients(9%),pleural effusion for 22 patients(9%),pneumothorax for 1 patient(4.4%).Conclusion Nuss technique is a beneficial choice for adult PE patients,but with more difficulties indeed.compared with traditional technique,Nuss surgery has an advantage of minimal trauma.