胸腔镜与非胸腔镜辅助改良Nuss手术矫治漏斗胸的临床比较

目的: 探讨非胸腔镜辅助改良Nuss手术矫治漏斗胸的安全性和经验。方法: 收集中南大学湘雅二医院胸外科2007年1月至2011年12月期间收治的漏斗胸患者267例,其中胸腔镜辅助改良Nuss手术85例,非胸腔镜辅助改良Nuss手术182例。回顾性分析两组手术时间、术中出血量、术后住院时间、术后并发症及术后疗效评价。结果: 267例均顺利完成手术。非胸腔镜辅助改良Nuss手术组手术时间(22.5min)较胸腔镜辅助手术组(35.1min)短(P<0.05),术中出血、术后住院天数、手术并发症两组间差异无统计学意义(P>0.05),两组均无围术期死亡病例。结论: 非胸腔镜辅助改良Nuss手术矫治漏斗胸是安全、有效的。该技术简化了手术程序,缩短了手术时间,易于应用推广。

Non-thoracoscopic and thoracoscopic modified Nuss procedure for correction of pectus excavatum

Objective: To summarize the curative effect, safety and experience of non-thoracoscopic modified Nuss procedure for correction of pectus excavatum (PE). Methods: From January 2007 to December 2011, 267 cases of PE patients were selected in our hospital. Among them 85 were treated by thoracoscopicminimally invasive modified Nuss Procedure and 182 by non-thoracoscopic procedure. The operation time, blood loss during operation, length of postoperative hospital stay and effect of treatment were compared retrospectively. Results: All the 267 patients finished the repair procedure smoothly. The non-thoracoscopic group had advantage in terms of operative time (22.5min vs 35.1min, P<0.05). As for the blood loss during operation, length of postoperative hospital stay and effect of treatment, there was no significant difference among the 2 groups (P>0.05). There were no deaths.Conclusion: Non-thoracoscopicminimally invasive modified Nuss procedure is as safe and effective as thoracoscopic Nuss procedure. With advantages of simplified operation procedure and shorter operation time, it is easier in practice.