漏斗胸Nuss手术研究进展

doi:10.3760/cma.j.issn.2095-7041.2016.04.022

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摘要目的总结漏斗胸Nuss手术的研究进展。方法在Pubmed、万方数据、中国知网等数据库,以漏斗胸、Nuss手术、外科治疗为关键词,查阅2000年1月—2015年2月有关Nuss手术的相关文献,进行总结分析。结果漏斗胸是一种胸壁凹陷性畸形,其发病机制尚未明确。Nuss手术是治疗漏斗胸的一种微创手术,具有创伤小、操作简便、并发症少、手术效果良好等优点,已经成为修复漏斗胸的首选治疗方法。随着Nuss手术方法的不断改良以及腔镜技术设备的完善,Nuss手术的适用范围不断扩大,胸腔镜辅助Nuss术已在临床广泛应用,具有手术创伤小、操作简单和快速恢复的优点。结论 Nuss手术的研究发展给漏斗胸患者带来了巨大的福音,但在具体临床应用中,术式的选择尚未达成共识,其发病机制和临床应用的具体问题仍有待进一步的探讨。

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	唐林晨
	莫绪明

关键词 ：漏斗胸, 外科治疗, Nuss手术

Abstract：Objective To summarize the research progress of Nuss procedure for pectus excavatum repair.Methods Related literatureson the databases such as PuMed, Wanfang database, CNKI were searched, using "pectus excavatum", "Nuss procedure" and "surgical treatment" as keywords, to consult related literatures about the Nuss procedure from January 2000 to February 2015, then summarize and analyze them and analysis.Results Pectum excavatum is a kind of chest wall pitting deformity, its pathogenesis is not yet clear. Nuss procedure is a kind of minimally invasive surgery in the treatment of funnel chest, with many advantages, such as small trauma, simple operation, less complications, surgical effect and so on. It has become the first treatment of the repair of funnel chest. With the development of Nuss operation and the improvement of the technology and equipment of thoracoscope, applicable scope of Nuss procedure expands unceasingly, the thoracoscope assisted Nuss technique has been widely used in clinical applications, with advantages of small surgical trauma, simple operation, and quick recovery.Conclusions Continuous research and development has brought great gospel to patients, however, in the specific clinical application, surgical choice has not yet been reached a consensus, the pathogenesis and specific issues of clinical application remain to be further discussed.

Key words： Pectus excavatum Surgical treatment Nuss procedure

收稿日期: 2015-03-01

通讯作者: 莫绪明, Email: mohsuming15@sina.com

引用本文:

唐林晨,莫绪明. 漏斗胸Nuss手术研究进展[J]. 中华解剖与临床杂志, 2016, 21(4): 368-370.
Tang Linchen, Mo Xuming. The research progress of Nuss procedure for pectus excavatum repair. Chinese Journal of Anatomy and Clinics, 2016, 21(4): 368-370.

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http://www.cjac.com.cn/CN/10.3760/cma.j.issn.2095-7041.2016.04.022 或 http://www.cjac.com.cn/CN/Y2016/V21/I4/368

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