摘要
目的 探讨CT在漏斗胸术前诊断和微创Nuss手术中的应用.方法 2002年7月到2008年9月648例NUSS手术病例均行术前CT检查,分析病人胸廓的畸形程度、分型、与周围脏器的关系和发现合并症,对手术进行指导和评价.结果 648例均顺利完成手术,CT分度为中度73例（11.27%）,重度575例（88.73%）.对称型407例（62.81%）,偏心型83例（12.81%）,不均衡型158例（24.38%）.术前发现其他合并症116例（17.90%）,CT检查确诊55例,占发现合并症的47.41%;55例中28例同期进行了手术.结论 CT能有效评价胸廓的畸形程度、分型、指导手术的入路、减少并发症的发生,并能进一步发现其他先天畸形等合并症,还是漏斗胸微创Nuss手术的术前常规检查和重要评估手段.
Objective To study the application CT scans in Nuss procedure for pectus excavatum. Metlhods 648 children with pectus excavatum underwent Nuss procedure from July 2002 to September 2008 The preoperative CT scan was carried out for evaluation of the deformity degree and morphology classification of chest wall malformation, the deformity in relation with adjacent tissue and associated different disorder. Results Nuss procedure was successfully performed in all 648 patients. The preoperative CT scan showed medium deformity of the pectus excavatum in 73 cases （ 11.27% ） and severe deformity in 575 cases （88.73%）. Morphologic classification of the pectus excavatum were symmetric type in 407cases （62.81% ） , eccentric type in 83（ 12.81% ） ,and unbalanced type in 158（ 24.38% ）. 116 cases with pectus excavatum were associated with other different disorders, among them 55 cases （ 17.9% ）were diagnosed by CT scan. 28 cases received stimultanously operation for their abnormalities. Conclusion CT scan is a useful tool for evaluation the deformity degree and morphology classification, direct the operation, reduce the complications and find other different disorders. It should be a routine examination before Nuss procedure.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
2010年第6期396-399,共4页
Chinese Journal of Thoracic and Cardiovascular Surgery
基金
本课题受北京市教委科技发展计划面上项目资助（KM201010025023）
