Nuss手术与带腹直肌蒂胸骨翻转术对漏斗胸治疗效果比较

目的比较Nuss手术与带腹直肌蒂胸骨翻转术治疗漏斗胸的效果。方法回顾性分析我科2008年1月～2012年8月分别行Nuss手术及带腹直肌蒂胸骨翻转术漏斗胸患者30例资料，比较术中及术后相关临床指标的差异。结果Nuss手术治疗漏斗胸患者手术时间、术中出血量、术后住院时间、术后疼痛天数、并发症发生率与手术效果评分均明显优于行带腹直肌蒂胸骨翻转术患者。结论Nuss手术可以良好矫正漏斗胸畸形，其效果优于带腹直肌蒂胸骨翻转术，值得进一步推广与改进。

Comparative study of effect of Nuss operation and sternum subvolution with pedicle of rectus abdominis for treatment of pectus excavatum

Objective To compare the effect of Nuss operation and sternum subvolution with pedicle of rectus abdominis for treatment of pectus exeavatum. Methods Clinical data of 30 pectus excavatum patients between January 2008 and August 2012 were retrospectively analyzed. All cases underwent Nuss operation or sternum subvolution with pedicle of rectus abdominis. The differences of their vital clinic index during and after operation were observed and compared. Results The Nuss operation group showed much better results than the sternum subvolution with pediele of rectus abdominis group in terms of operation time, intra-operative blood loss,hospital stay after operation, duration of post-operative pain, incidence of complications and score of operation outcome. Conclusion Nuss operation can correct the pectus excavatum malformation to a great degree. It is better than sternum subvolution with pedicle of rectus abdominis in effect. It should be recommended for further promotion and application.