Martínez Ferro M, Fraire C, Rubio M, Tamburri N
Hospital de Pediatría J.P.Garrahan, Buenos Aires, Argentina.
Cir Pediatr. 2005 Apr;18(2):65-9.
Since December 1999 to November 2003, we treated 68 patients with pectus excavatum using the Nuss minimally invasive procedure. Their ages were between 6 and 24 years old, with a mean of 12 years. Average Haller index was 4.1. Lateral stabilisers were used in all the cases, in 28% of them, two stabilisers were used. Mean operative time was 70 minutes (range 40 to 120). A thoracic epidural catheter was used for postoperative analgesia in 87% of the cases, with a mean duration of 3 days. The most frequent early complication was residual pneumothorax, which resolved spontaneously in 24% of the cases. The average hospital stay was 5.7 days. 93% of patients had excellent, very good or good results, in 5% of the cases the results were fair, and 2% had poor results due to thoracic asimetry and/or sternal rotation. The Nuss minimally invasive procedure is a useful method for treatment of pectus excavatum's patients.
从1999年12月至2003年11月，我们采用努斯微创手术治疗了68例漏斗胸患者。他们的年龄在6至24岁之间，平均年龄为12岁。平均哈勒指数为4.1。所有病例均使用了侧向稳定器，其中28%的病例使用了两个稳定器。平均手术时间为70分钟（范围为40至120分钟）。87%的病例使用了胸段硬膜外导管进行术后镇痛，平均持续时间为3天。最常见的早期并发症是残留气胸，24%的病例可自行缓解。平均住院时间为5.7天。93%的患者效果极佳、非常好或良好，5%的病例效果一般，2%的患者因胸廓不对称和/或胸骨旋转效果较差。努斯微创手术是治疗漏斗胸患者的一种有效方法。
