Nuss 手术与胸骨翻转术治疗漏斗胸的比较。

Comparison of the Nuss and sternal turnover procedures for primary repair of pectus excavatum.

机构信息

Department of Thoracic Surgery, First Hospital, China Medical University, Shenyang, PR China.

出版信息

Asian J Surg. 2014 Jan;37(1):30-4. doi: 10.1016/j.asjsur.2013.07.009. Epub 2013 Aug 24.

DOI:10.1016/j.asjsur.2013.07.009

PMID:23978431

Abstract

BACKGROUND

Pectus excavatum (PE) is a common chest wall deformity. There are several surgical alternatives for the repair of PE. In our practice, the sternal turnover (STO) procedure had been performed for decades. In 2008, we started treating PE patients with the Nuss procedure. Our objective of this study is to compare these two procedures.

METHODS

A retrospective chart review was conducted on 50 patients undergoing pectus excavatum repairs from March 2005 to January 2013, including 20 patients with the STO procedure and 30 patients with the Nuss procedure. Patients were evaluated for type of repair performed, operating time, drainage after operation, length of postoperative stay, complications, and cosmetic results.

RESULTS

The mean age of the STO group was 11.0 years and that of the Nuss group was 15.0 years (p = 0.353). The Nuss procedure had a much shorter mean operating time, a less mean drainage after operation, and a shorter mean time to drainage tube removal than those of the STO procedure. The rate of complication was 40.0% (8/20) in the STO group and 33.3% (10/30) in the Nuss group. Follow-up data indicated that 90% (18/20) of patients in the STO group and 96.7% (29/30) of patients in the Nuss group regarded the results as good or excellent (p = 0.965).

CONCLUSION

Our data suggests that both the STO and Nuss procedures are equally safe and effective correction methods. However, less trauma, faster recovery, and better cosmetic results are the benefits of the Nuss procedure.

摘要

背景

漏斗胸（PE）是一种常见的胸廓畸形。有几种手术方法可用于修复 PE。在我们的实践中，胸骨翻转（STO）手术已经开展了几十年。2008 年，我们开始使用 Nuss 手术治疗 PE 患者。我们的研究目的是比较这两种手术。

方法

对 2005 年 3 月至 2013 年 1 月期间进行的 50 例漏斗胸修复患者进行回顾性病历分析，包括 20 例 STO 手术患者和 30 例 Nuss 手术患者。对患者进行手术类型、手术时间、术后引流、术后住院时间、并发症和美容效果等方面的评估。

结果

STO 组的平均年龄为 11.0 岁，Nuss 组的平均年龄为 15.0 岁（p = 0.353）。Nuss 手术的平均手术时间更短，术后引流更少，引流管拔除时间更短。STO 组的并发症发生率为 40.0%（8/20），Nuss 组的并发症发生率为 33.3%（10/30）。随访数据表明，STO 组 90%（18/20）的患者和 Nuss 组 96.7%（29/30）的患者对结果的评价为良好或优秀（p = 0.965）。