Department of Thoracic and Cardiovascular Surgery, Korea University Guro Hospital, Korea University College of Medicine, Guro-dong, Guro-gu, Seoul, 152-703, Korea.
World J Surg. 2011 Jul;35(7):1656-61. doi: 10.1007/s00268-011-1111-x.
The goal of this study was to evaluate the outcome of patients who had the Nuss procedure for repair of pectus excavatum.
Thirty-nine patients (26 male, 13 female) of 61 (63.9%) who had bar removal after the Nuss procedure agreed to participate in an interview. All patients and their parents were asked to complete a questionnaire.
The mean age of the patients was 6.8±3.23 years at the time of the Nuss procedure, 9.1±3.54 at bar removal, and 12.0±3.28 when the questionnaire was completed. The scores for satisfaction with the procedure, sense of social belonging, and well-being increased after the Nuss procedure according to the responses of the patients and their parents. However, the scores did not significantly differ after bar removal compared to after the Nuss procedure. Patients (4.1±1.08) and parents (4.1±1.02) reported that they were satisfied with the final result and their responses did not significantly differ (P=0.498). However, the surgical team's score for overall satisfaction was 4.5, which was higher than the patients' and/or parents' scores (P=0.019).
The Nuss procedure had a positive impact on the patients' and parents' quality of life. However, the scores before and after bar removal did not differ.
本研究旨在评估接受 Nuss 手术修复漏斗胸的患者的治疗效果。
39 例（男 26 例，女 13 例）接受 Nuss 手术后移除支撑杆的患者（63.9%）同意参与访谈。所有患者及其父母均被要求完成一份问卷。
患者在 Nuss 手术时的平均年龄为 6.8±3.23 岁，移除支撑杆时为 9.1±3.54 岁，完成问卷时为 12.0±3.28 岁。根据患者及其父母的回答，在 Nuss 手术后，对手术的满意度、社会归属感和幸福感的评分均有所提高。然而，与 Nuss 手术后相比，移除支撑杆后评分没有显著差异。患者（4.1±1.08）和父母（4.1±1.02）报告对最终结果满意，他们的回答没有显著差异（P=0.498）。然而，手术团队对整体满意度的评分为 4.5，高于患者和/或家长的评分（P=0.019）。
Nuss 手术对患者及其父母的生活质量产生了积极影响。然而，移除支撑杆前后的评分没有差异。
