Kelly Robert E, Daniel Antarius
Department of Surgery, Children's Hospital of The King's Daughters, 601 Children's Lane, Norfolk, VA 23507, United States; Clinical Surgery and Pediatrics, Eastern Virginia Medical School, Norfolk, VA, United States.
Department of Surgery, Children's Hospital of The King's Daughters, 601 Children's Lane, Norfolk, VA 23507, United States.
Semin Pediatr Surg. 2018 Jun;27(3):170-174. doi: 10.1053/j.sempedsurg.2018.05.003.
The procedure introduced by Donald Nuss in 1997 at the American Pediatric Surgical Association meeting has now been adopted by pediatric, thoracic, and plastic surgeons around the globe. Since its introduction, the Nuss procedure has been the subject of intense scrutiny. More than 20 years since the original publication, medical centers from around the world have reported their experience with the procedure and robust evidence now supports its safety and efficacy. Additionally, in collaboration with psychologists in Norfolk, a methodology was devised to measure the psychosocial as well as the physical benefits of the procedure. Extensive independent multinational and multi-institutional data demonstrate repair of pectus excavatum using the Nuss procedure results in marked improvement in both physical function and body image. This report reviews the outcomes, quality of life, and long-term results of numerous centers worldwide since the introduction of the procedure.
1997年，唐纳德·努斯在美国儿科学会外科会议上介绍的这一手术方法，如今已被全球各地的儿科、胸科和整形外科医生所采用。自该手术方法问世以来，一直受到严格审查。自最初发表以来的20多年里，世界各地的医疗中心都报告了他们开展该手术的经验，大量证据如今支持了其安全性和有效性。此外，与诺福克的心理学家合作，设计了一种方法来衡量该手术在心理社会和身体方面的益处。广泛的独立跨国和多机构数据表明，采用努斯手术修复漏斗胸可显著改善身体功能和身体形象方面状况。本报告回顾了该手术方法问世以来全球众多中心的治疗结果、生活质量和长期疗效。
