微创Nuss手术对青少年漏斗胸的疗效

目的探讨微创Nuss手术对青少年漏斗胸的疗效。方法对48例年龄13-22(16.3±2.5)岁青少年漏斗胸(对称型40例,非对称型8例)患者实施了Nuss手术,回顾性分析治疗方法及远期效果。结果 48例患者均顺利完成手术,无严重手术并发症。手术时间(50±8.5)min,术中出血量10ml左右。术后住院日(5±1.5)d。术后并发症发生率为22.9%(对称型8例,非对称型3例)。术后随访(30±9.5)个月,优良率81.4%(对称型34例,非对称型4例)。结论微创Nuss手术适用于青少年广泛对称型漏斗胸。

Outcomes of Nuss operation for pectus excavatum in adolescents

Objective To summarize the efficacy of minimall invasive Nuss operation for pectus excavatum in adolescents. Methods The Nuss operation was performed in 48 adolescents(aged 13-22 years old) with pectus excavatum,of whom 40 cases were symmetric(group A) and 8 cases unsymmetric(group B). Results The surgeries of 48 cases were successful without serious complications during operation.Mean operative time was(50±8.5) minutes with blood loss about 10 ml.The postoperative hospital stay was(5±1.5) days.The rate of overall postoperative complications was 22.9%(8 cases in group A,3 cases in group B).Mean follow-up time was(30±9.5) months.The excellence rate was 81.4%(34 cases in group A,4 cases in group B). Conclusion The minimall invasive Nuss operation is suitable for treating pectus excavatum with symmetric type in adolescents.