探讨改良胸腔镜Nuss手术治疗青少年漏斗胸的近期效果及经验。

选取广东省肇庆市第一人民医院胸心外科收治的11例青少年漏斗胸患者均行改良Nuss手术治疗，记录手术时间、手术出血量、并发症发生率、住院时间，按Cruitoru法分级评价手术效果。

11例均顺利完成手术，手术时间平均69 min，住院时间平均8 d，术中出血量平均10 mL。术后随访1～3年，右侧切口愈合不良1例，右侧切口感染不愈合1例，无其他并发症发生。其中优9例，良2例，优良率为100%。

改良胸腔镜Nuss手术治疗青少年漏斗胸创伤小、手术时间短、出血少、住院时间短，手术效果好，费用低，符合现代外科微创、美观、恢复快的新理念，值得推广应用。

To investigate the short-term effect and experiences of modified Nuss surgery for treating adolescents with pectus excavatum under thoracoscope.

Eleven adolescents with pectus excavatum were treated with modified Nuss surgery. The operation time, blood loss, complication rate and hospitalization time were recorded. Surgical effect was evaluated according to the Cruitoru method.

All of patients successfully completed the operation. The average operation time was sixty-nine min., mean hospitalization time was eight days, and intraoperative blood loss was ten mL. The patients were followed up after surgery from one to three years. Poor healing of the right incision occurred in one patient, and the infection of the right incision delayed to heal in one patient. No other complications occurred. The recovery of nine patients were all excellent, and two patients were good, the excellent and good rate of all patients was 100%.

Modified Nuss surgery under thoracoscope is suitable for the treatment of adolescents with pectus excavatum, which has the advantages of smaller trauma, short operation time, less bleeding, short hospitalization time, good operation effect and low cost. It is in line with the new concept of minimally invasive, aesthetic and quick recovery in modern surgery, which is worthy of promotion and application.