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目的观察胸腔镜辅助Nuss手术治疗青少年漏斗胸的临床治疗效果。方法选取医院收治的青少年漏斗胸患者32例为研究对象,其采用胸腔镜辅助Nuss手术治疗,观察患者术中出血量、术后并发症及手术疗效、住院时间等。结果 32例青少年漏斗胸患者全部顺利的完成手术,手术时间为(33.7±7.1)min,术中出血量为(9.8±1.9)ml,32例患者术后住院时间平均(5.4±2.0)d。胸腔镜辅助Nuss手术疗效优良率97.2%,术后并发症发生率为6.7%。在手术后1~3周逐渐恢复正常生活,缓慢平稳增加运动量,且症状逐渐消失。32例患者全部顺利出院,并获得随访,随访时间9~36个月。32例患者在手术前的平均Haller指数为(5.4±0.8),手术完成后4个月的平均Haller指数降至(2.0±0.8)。结论胸腔镜辅助Nuss手术治疗青少年漏斗胸安全可靠,手术创伤小,出血量少,并发症少,恢复快,临床疗效显著,值得临床推广应用。
Objective To observe the clinical effect of thoracoscopic assisted Nuss surgery for adolescent funnel chest. Methods Thirty-two patients with funnel chest admitted to hospital were enrolled in the study. They were treated by thoracoscope assisted Nuss operation, and the intraoperative blood loss, postoperative complications, operative efficacy and length of hospital stay were observed. Results Thirty-two patients with funnel chest successfully completed the operation. The operation time was (33.7 ± 7.1) min, the blood loss was (9.8 ± 1.9) ml, and the average length of stay in 32 patients was 5.4 ± 2.0 d. Thoracoscopic Assisted Nuss surgery excellent effect rate of 97.2%, postoperative complication rate was 6.7%. After 1 to 3 weeks after surgery, the normal life gradually returned to slow and steady increase of exercise, and the symptoms gradually disappear. All 32 patients were discharged smoothly and were followed up for 9 ~ 36 months. The mean Haller index of the 32 patients before surgery was (5.4 ± 0.8) and the average Haller index of the 4 months after the surgery was reduced to (2.0 ± 0.8). Conclusions Thoracoscopic assisted Nuss operation is safe and reliable, with less trauma, less bleeding, less complications and quick recovery. It is worth to be clinically popularized and applied.