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漏斗胸不同手术方式的比较
引用本文:郁珲,马海涛,倪斌,赵军,李畅. 漏斗胸不同手术方式的比较[J]. 实用诊断与治疗杂志, 2009, 23(2)
作者姓名:郁珲  马海涛  倪斌  赵军  李畅
作者单位:苏州大学附属第一医院心胸外科,江苏省苏州市,215006
摘    要:
目的:比较Nuss手术、改良Ravitch手术及胸骨翻转手术3种手术方式对漏斗胸的矫正效果。方法:38例漏斗胸患者,行Nuss手术21例,改良Ravitch手术9例,胸骨翻转手术8例,将3种手术方式围手术期情况、并发症、效果等进行比较,同时对行Nuss手术的21例中的对称组(10例)和不对称组(11例)术后效果进行比较。结果:平均手术时间、术中出血量、术后住院天数、疼痛天数Nuss组优于改良Ravitch组及胸骨翻转组(P<0.05),Nuss手术对对称型漏斗胸矫正效果优于不对称型漏斗胸(P<0.05)。结论:Nuss手术与其他2种手术方式相比具有操作简便、手术时间短、术中出血少、创伤小等优点,尤其适用于对称型漏斗胸。

关 键 词:漏斗胸  Nuss手术  改良Ravitch手术  胸骨翻转术  

Comparison of different procedure of pectus excavatum
YU Hui,MA Haitao,NI Bin,ZHAO Jun,LI Chang. Comparison of different procedure of pectus excavatum[J]. Journal of Practical Diagnosis and Therapy, 2009, 23(2)
Authors:YU Hui  MA Haitao  NI Bin  ZHAO Jun  LI Chang
Abstract:
Objective To compare the effect of Nuss procedure,modified Ravitch procedure and sterno-turnover procedure.Methods Thirty-eight cases of pectus excavatum repairs were followed up.Among them,21 cases received Nuss procedures,9 received modified Ravitch procedures and 8 received sterno-turnover procedures.The conditions before,during and after operation,the complications and effect were compared.The effect of Nuss procedure on repairing symmetric or asymmetric pectus excavatum was analyzed.Results Among the t...
Keywords:Pectus excavatum  Nuss procedue  modified Ravitch procedure  sterno-turnover procedure  
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