微创Nuss手术与改良Ravitch手术治疗小儿漏斗胸的临床效果对比分析

目的比较微创Nuss手术与改良Ravitch手术治疗小儿漏斗胸的临床效果。方法选取自2003年12月至2013年12月收治的100例漏斗胸患儿,将其作为临床研究对象。按照随机数表法将其分为观察组和对照组,每组各50例。观察组患儿采取微创Nuss手术治疗,对照组患儿采取改良Ravitch手术治疗。比较两组围手术期一般情况、临床疗效及并发症发生情况。结果观察组患儿手术时间、下地活动时间、住院时间、术中出血量、引流量、切口长度均少于对照组,组间比较差异存在显著性(P0.05)。观察组术后并发症总发生率为22.0%,与对照组(20.0%)较为相近。两组患儿随访术后1年内、1~3年、3年后的疗效满意度情况也较相近,组间比较差异无显著性(P0.05)。结论微创Nuss手术与改良Ravitch手术对小儿漏斗胸的治疗效果均较好,但微创矫正Nuss手术疗效较改良Ravitch手术更具有优势,具有创伤小、恢复快等优点,值得在临床上广泛应用。

Comparison of Nuss minimally invasive repair and modified Ravitch repair for pectus excavatum in children

Objective To compare the clinical results of Nuss minimally invasive repair and modified Ravitch repair for pectus excavatum in children. Methods One hundred children with pectus excavatum treated in our hospital during December 2003 to December 2013,were divided into observation group（ n = 50） and control group（ n = 50） according to a random number table method. Patients in observation group received Nuss minimally invasive repair; patients in the control group received modified Ravitch repair. Treatment outcomes and complications of the surgeries were compared. Results Operative time,ambulation time,hospitalization time,blood loss,drainage,and incision length in observation group were respectively less than control group（ all P〉 0. 05）. The overall incidence of postoperative complications in observation group（ 22. 0%） was close to that in the control group（ 20. 0%）. Patients satisfaction investigated during the follow-up of 1,1 ～ 3 and 〉3 years were similar between the two groups（ P〈 0. 05）. Conclusion Both Nuss minimally invasive repair and modified Ravitch repair can achieve good results for the treatment of pectus excavatum in children,but Nuss minimally invasive repair has the advantages of less trauma and quicker recovery in comparison with modified Ravitch repair.