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Received:March 12, 2021 Published Online:November 20, 2021
Received:March 12, 2021 Published Online:November 20, 2021
中文摘要: 目的 分析二次漏斗胸手术不同矫形方式的技术特点和治疗效果,为二次漏斗胸术式选择提供参考。方法 回顾分析2014年1月至2020年10月联勤保障部队第九八三医院进行二次漏斗胸手术的28例患者临床资料。其中17例行改良Nuss手术(改良Nuss组),11例行Wang手术(Wang手术组)。随访4~72个月,分析不同术式的手术时间、术中出血量、并发症、术后住院时间及矫形满意度等指标。结果 改良Nuss组和Wang手术组术后效果评价满意率均为100%。与Wang手术组比较,改良Nuss组手术时间[(81.19±25.07)min vs(47.19±10.21)min]、术后住院时间[(8.30±1.10)d vs(6.50±1.40)d]较长,差异有统计学意义(P<0.01)。改良Nuss组和Wang手术组术中出血量[(30.22±12.16)ml vs(24.22±8.16)ml]、发症发生率(23.53% vs 9.09%)比较差异无统计学意义(P>0.05)。结论 虽然改良Nuss手术和Wang手术都具有很好的矫形效果,但Wang手术操作简单、安全性高,在二次漏斗胸矫治上具有更大的优势。
Abstract:Objective To analyze the technical characteristics and therapeutic effects of different repair methods in second pectus excavatum(PE) surgery so as to provide reference for the selection of PE operation. Methods Out of 31 patients undergoing secondary pectus excavatum surgery from January 2014 to October 2020 in the 983rd Hospital of Joint Service Support Force of Chinese PLA, 17 cases treated with minimally invasive correction of pectus excavatum (modified Nuss group) and 11 cases treated with novel minimally invasive procedure for pectus excavatum (Wang procedure group). The operation time, intraoperative blood loss, complications, postoperative hospital stay and patient satisfaction were observed and analyzed between two groups. The patients were followed up for 4-72 months. Results The satisfaction rate of patients after surgery was 100% in both groups. Compared with Wang operation group, the operation time [(81.19±25.07)min vs (47.19±10.21)min] and postoperative hospital stay [(8.30±1.10)d vs (6.50±1.40)d] statistically increased in modified Nuss group (P<0.01). There were no significant differences in intraoperative bleeding [(30.22±12.16)ml vs (24.22±8.16)ml] and incidence of complication (23.53% vs 9.09%) between modified Nuss group and Wang operation group (P>0.05). Conclusion Although both modified Nuss procedure and Wang operation have achieved good results in second pectus excavatum surgery, the comprehensive analysis of perioperative indicators shows that Wang procedure is simple and safe and has greater advantages in the secondary correction of pectus excavatum.
文章编号: 中图分类号:R655.1 文献标志码:B
基金项目:
Author Name | Affiliation |
SHANG Hong-wei, LOU Xia, LI Chao, SUN Sheng-bin | Department of Cardiothoracic Surgery, the 983rd Hospital of Joint Service Support Force of Chinese PLA, Tianjin 300142, China |
Author Name | Affiliation |
SHANG Hong-wei, LOU Xia, LI Chao, SUN Sheng-bin | Department of Cardiothoracic Surgery, the 983rd Hospital of Joint Service Support Force of Chinese PLA, Tianjin 300142, China |
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