Pilegaard Hans K, Licht Peter B
Department of Cardiothoracic Surgery, Aarhus University Hospital, Skejby, Brendstrupgaardsvej 100, 8200 Aarhus N, Denmark.
Interact Cardiovasc Thorac Surg. 2008 Feb;7(1):54-7. doi: 10.1510/icvts.2007.160937. Epub 2007 Oct 19.
The prevalence of pectus excavatum is low but many patients are disabled from this thoracic deformity. The Nuss operation is a well-established surgical correction, however, until recently it has been rarely used in Europe. We have performed the Nuss operation regularly between 2001 and 2006 where a total of 383 patients were operated on for pectus excavatum. The indication for surgery was disabling cosmetic appearance as described by the patient. Patient records were reviewed for retrospective analysis. The median age was 16 years (range 7-43) and 86% were males. A satisfactory peri-operative result was achieved in all but one patient with one pectus bar (81%), two bars (19%) and three bars in one patient. Postoperative complications included bleeding, pleural effusion, seroma and deep infection. Seven patients were reoperated because the bar dislocated. At present the bars have been removed in 73 patients and their final result was excellent in all but one. The Nuss procedure for pectus excavatum can be implemented with excellent early results and few complications. There is a surprisingly high demand for surgical correction of pectus excavatum and the number of referred patients continues to increase as patients learn about the ease of this procedure and its excellent results.
漏斗胸的发病率较低，但许多患者因这种胸廓畸形而致残。努斯手术是一种成熟的外科矫正方法，然而，直到最近它在欧洲仍很少使用。我们在2001年至2006年期间定期开展努斯手术，共有383例漏斗胸患者接受了手术。手术指征为患者所述的致残性外观。对患者记录进行回顾性分析。中位年龄为16岁（范围7 - 43岁），86%为男性。除1例患者外，所有患者围手术期结果均令人满意，使用一根鸡胸矫正钢板的患者占81%，两根的占19%，1例患者使用三根。术后并发症包括出血、胸腔积液、血清肿和深部感染。7例患者因钢板移位接受了再次手术。目前，73例患者的钢板已取出，除1例患者外，其余患者的最终结果均极佳。漏斗胸的努斯手术可取得优异的早期效果且并发症较少。对漏斗胸外科矫正的需求出奇地高，随着患者了解到该手术的简便性及其优异效果，转诊患者的数量持续增加。
