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改进微创技术治疗大龄鸡胸患者的近期疗效 被引量:2

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摘要 目的探讨改进微创技术治疗大龄鸡胸患者的可行性及近期结果。方法回顾性分析自2009年7月至2011年7月北京军区总医院采用改进微创技术治疗16例大龄鸡胸患者的临床资料,男12例,女4例;年龄(19.8±4.7)岁。鸡胸指数(HI)2.00±0.23。前胸壁凸起型10例,鸡胸漏斗胸混合型6例。患者仰卧位,在全身麻醉下施行手术。(1)胸骨沉降法:适宜前胸壁凸起型。取胸壁最凸点水平两侧腋中线做小切口,创出横行于前胸壁的胸肌下隧道,将已制备好的矫形板穿过肌下隧道,施压整形后矫形板两端用钢缆与肋骨固定;(2)胸骨抬举及沉降联合法:适宜混合型。用Nuss方法将矫形板置于胸骨最凹陷部位抬举;胸骨角处小切口胸骨截骨和畸形肋软骨切除成形沉降胸骨。结果无围术期死亡,16例均顺利完成手术,手术时间(65.0±7.8)min,失血量(20.0±4.2)ml,住院时间(5.0±1.8)d。术后胸廓外形恢复正常,HI 2.8±0.4。胸廓外形和胸部CT影像形状满意。随访16例,随访时间12~30个月,平均随访18个月。其中1例已取出矫形板。疗效优秀13例(81.2%),良好3例(18.8%)。结论采用改进微创技术矫治大龄鸡胸患者,需要选择恰当的手术术式,可获得良好的近期效果。
出处 《中国胸心血管外科临床杂志》 CAS 2013年第2期235-237,共3页 Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
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参考文献15

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