Li Hao, Wang Feng, Ji Guangyu, Teng Jiping, Liang Xi, Liang Xiang, Ni Da, Zhu Zhijun, Wu Jinlong, Guan Xin, Li Guoqing, Wang Mingsong
Department of Thoracic Surgery, Shanghai Ninth People's Hospital, Affiliated to Shanghai JiaoTong University School of Medicine, Shanghai, China.
Department of Thoracic Surgery, Shanghai Ninth People's Hospital, Affiliated to Shanghai JiaoTong University School of Medicine, Shanghai, China.
Asian J Surg. 2023 Feb;46(2):692-697. doi: 10.1016/j.asjsur.2022.06.080. Epub 2022 Jul 5.
Pectus excavatum is not rare in China. Many treatments for this disease have proved to have many shortcomings. Nuss procedure has been a ground-breaking technology, but it also has some disadvantages. Hence, this study was conducted to review our experience in the use of modified Nuss procedure in our hospital.
Data from 259 patients suffered from pectus excavatum between August 2020 and August 2021 who were treated with modified Nuss procedure was analyzed retrospectively.
Age was from 3 to 37 years. The average was 15.54 years. The male was 213 cases and the female was 46 cases. The time patients or their family members found pectus excavatum varied. 10 cases had been repaired previously when patients were admitted in our hospital. The clinical symptoms also varied. Each case had an improvement in Haller index. The average of the postoperative hospitalization was 3.97 days. Most cases were inserted 1 bar. Complication rate was also very low. All patients or their parents or their guardians were satisfied with the appearance of the chest wall after operation. There was no death in the whole observation period.
From our experience, this modified Nuss procedure have obtained optimistic outcomes with more minimal invasion and low complication rate. This surgical method may be applied to many other hospitals in the future.
漏斗胸在中国并不罕见。许多针对该疾病的治疗方法已被证明存在诸多缺点。Nuss手术是一项开创性技术，但也存在一些不足之处。因此，本研究旨在回顾我院使用改良Nuss手术的经验。
回顾性分析2020年8月至2021年8月期间接受改良Nuss手术治疗的259例漏斗胸患者的数据。
年龄3至37岁，平均15.54岁。男性213例，女性46例。患者或其家属发现漏斗胸的时间各不相同。10例患者入院时曾接受过修复治疗。临床症状也各不相同。每例患者的Haller指数均有改善。术后平均住院时间为3.97天。大多数病例植入1根钢板。并发症发生率也很低。所有患者或其父母或监护人对术后胸壁外观均满意。整个观察期内无死亡病例。
根据我们的经验，这种改良Nuss手术取得了乐观的效果，具有创伤更小、并发症发生率低的特点。这种手术方法未来可能会应用于许多其他医院。
