摘要:
目的 总结一种新型钢板在鸡胸微创手术中的应用经验.方法 2018年1月至2018年10月上海市新华医院心胸外科采用自行设计的一种新型钢板对25例鸡胸患者行微创手术治疗.25例均为男性,年龄10~17岁,平均(13.80±1.66)岁.术前常规行胸壁可塑性试验,胸部CT平扫及三维重建检查观察胸骨、肋骨形态及其与心脏的位置关系.结果 手术均顺利完成.手术时间35~100 min,平均(73.44±17.49)min;术后住院间3~6天,平均(3.68±0.85)天.5例患者术后并发气胸,肺压缩2%~10%,均无需外科干预.术后1个月1例患者切口愈合不良,经非手术治疗后痊愈.其他患者恢复顺利.随访1~10个月,治疗效果均稳定,未发现钢板移位、钢丝断裂,鸡胸复发等并发症.结论 该新型钢板使用方便,大大降低了鸡胸手术难度,减少了手术创伤及并发症,对于不对称鸡胸更优,具有良好的应用前景.%Objective To introduce the application experience of a new steel bar used in minimally invasive surgery for pectus carinatum.Methods From January to October 2018, Cardiothoracic Surgery Department of Shanghai Xinhua Hospital performed a minimally invasive surgery for 25 cases of patients with pectus carinatum used a new type of steel bar.All 25 pa-tients were male, aged 10 -17 years, with an average age of(13.80 ±1.66)years.The application experience of the new bar in pectus carinatum minimally invasive surgery was summarized .Results All operations were successfully completed .The op-eration time was 35-100 min, averaged(73.44 ±17.49)min, postoperative hospital stay was 3 -6 days, averaged(3.68 ± 0.85)days.Postoperative complications included 5 cases of pneumothorax(the lung compression was about 2% -10%, not necessary for surgical intervention).One case occured wound healing delay 1 month after operation, and healed after no surger-cal treatment.The other patients recovered smoothly.Conclusion The new steel bar is convenient to use, greatly reduces the difficulty of the pectus carinatum surgery procedure , also reduced surgical trauma and complications , has a good application prospect.