感染的努氏棒应该取出吗？
Should an infected Nuss bar be removed?
作者信息
Van Renterghem Katrien M, von Bismarck Silvester, Bax Nikolaas M A, Fleer Andre, Höllwarth Michael E
机构信息
Department of Pediatric Surgery, Wilhelmina Children's Hospital, University Medical Center, PO Box 85090, 3508AB Utrecht, The Netherlands.
出版信息
J Pediatr Surg. 2005 Apr;40(4):670-3. doi: 10.1016/j.jpedsurg.2004.12.005.
BACKGROUND
The Nuss procedure is a minimally invasive procedure for correction of pectus excavatum. It involves insertion of a substernal metal bar. A feared complication of any implanted device is infection, which often necessitates removal. The purpose of this report is to describe the authors' experience with infectious complications after the Nuss procedure.
METHODS
From February 2000 to July 2002, 102 patients underwent the Nuss procedure in 2 pediatric surgical centers. In a retrospective way, the files of those patients in whom a postoperative infection developed were studied.
RESULTS
Seven patients suffered postoperative infectious complications. Only one bar needed to be removed.
CONCLUSION
The authors' experience indicates that there is no need for immediate removal of an infected Nuss bar. Most of these infections can be managed conservatively. However, early antibiotic treatment is warranted to ensure salvage of the bar.
背景
努斯手术是一种用于矫正漏斗胸的微创手术。该手术需要在胸骨后插入一根金属棒。任何植入装置都令人担忧的一个并发症是感染，感染通常需要移除装置。本报告的目的是描述作者在努斯手术后处理感染性并发症的经验。
方法
2000年2月至2002年7月，102例患者在2个儿科手术中心接受了努斯手术。以回顾性方式研究了那些发生术后感染的患者的病历。
结果
7例患者出现术后感染性并发症。仅1根金属棒需要移除。
结论
作者的经验表明，对于感染的努斯棒无需立即移除。大多数此类感染可采用保守治疗。然而，早期使用抗生素治疗以确保金属棒得以保留是必要的。
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