[1]潘征夏,吴春,何玲,等.改良Ravitch术与Nuss手术治疗漏斗胸的效果对比[J].陆军军医大学学报(原第三军医大学学报),2009,31(14):1378-1380.
 PAN Zheng-xia,WU Chun,HE Ling,et al.Pectus excavatum: Nuss procedure vs modified ravitch procedure[J].J Amry Med Univ (J Third Mil Med Univ),2009,31(14):1378-1380.
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改良Ravitch术与Nuss手术治疗漏斗胸的效果对比(/HTML )
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陆军军医大学学报(原第三军医大学学报)[ISSN:1000-5404/CN:51-1095/R]

卷:
31卷
期数:
2009年第14期
页码:
1378-1380
栏目:
论著
出版日期:
2009-07-30

文章信息/Info

Title:
Pectus excavatum: Nuss procedure vs modified ravitch procedure
作者:
潘征夏吴春何玲李洪波王刚李勇刚
重庆医科大学附属儿童医院心胸外科
Author(s):
PAN Zheng-xia WU Chun HE Ling LI Hong-bo WANG Gang Li Yong-gang
Department of Thoracic and Cardiovascular Surgery, Children’s Hospital, Chongqing Medical University, Chongqing 400014, China
关键词:
漏斗胸胸外科手术方法Nuss手术Ravitch手术
Keywords:
funnel chest thoracic surgical procedure Nuss procedure Ravitch procedure
分类号:
R615;R655
文献标志码:
A
摘要:
目的   对比研究传统改良Ravitch手术与微创Nuss手术治疗小儿漏斗胸。   方法   回顾性分析我院2005年1月至2007年12月收治的100例漏斗胸,其中Nuss手术50例,改良Ravitch手术50例,将两种术式一般情况、围术期情况、并发症和术后效果进行比较。   结果   全组无1例死亡。100例均顺利完成手术,但平均手术时间、术中出血量、术后平均住院天数Nuss组少于Ravitch组,住院费用、术后并发症、术后疼痛时间Nuss组高于改良Ravitch组。Nuss组并发症发生率为18%,包括2例气胸,2例皮下气肿,皮下积液1例,钢板移位2例,肺不张2例。Ravitch组并发症发生率为4%,分别为肺炎、皮下积液各1例。2组并发症均无严重致命性,且预后良好。   结论   如果正确选择手术适应证,微创Nuss手术与改良Ravitch手术矫治小儿漏斗胸均能取得良好的效果。
Abstract:
Objective   To compare the efficacies of Nuss procedure and modified Ravitch procedure in treating pectus excavatum.    Methods   Totally 100 cases of funnel chest who received repair operation from January 2005 to July 2007 were followed up for 3 years.Among them, 50 cases (7.37±2.31 years old) underwent NUSS procedures and 50 (6.25±2.18 years old) modified Ravitch procedures. The conditions before, during and after operation, complications and parents satisfaction scores were compared.    Results   Between the 2 groups, the operative time, blood loss, and duration of hospitalization were shorter in Nuss group than modified Ravitch group. The cost of hospitalization, postoperative complications, the time to pain were lesser in Ravitch group. In Nuss group, complications occurred in 9 cases (18%), including 2 pneumothorax, 2 subcutaneous emphysema, 2 bar dislocation, 2 atelectasis and 1 subcutaneous fluid. In Ravitch group complication rate was 4% (2 cases), including 1 pneumonia and 1 subcutaneous fluid. There was no fetal complication observed.    Conclusion   If proper indication is chosen, Nuss procedure and modified Ravitch procedure both result in an excellent cosmetic outcome for pectus excavatum.

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更新日期/Last Update: 2009-06-29