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目的研究NUSS手术治疗漏斗胸疗效。方法将我院2009年1月-2011年1月86例漏斗胸患儿分为NUSS组46例和Ravitch组40例,NUSS组行NUSS手术,Ravitch组行改良Ravitch手术,比较两组平均手术时间、出血量、住院时间、恢复活动时间等,随访3-24个月,观察并发症发生情况。结果 Nuss组与Ravitch组优良率分别为91.3%、95%;Ravitch组并发症发生率5.0%,略高于Nuss组的4.35%,但组间差异无统计学意义。Nuss组平均手术时间、住院时间、恢复活动时间均短于对照组,平均出血量少于对照组,组间差异有统计学意义(P<0.05)。结论 Nuss手术具有安全、微创的优点,但应注意手术适应症的选择,严重不对称型漏斗胸及凹陷重的局限型漏斗胸不宜采用该术式。
Objective To study the efficacy of NUSS in the treatment of funnel chest. Methods 86 patients with funnel chest in our hospital from January 2009 to January 2011 were divided into NUSS group (46 cases) and Ravitch group (40 cases). NUSS group underwent NUSS operation and Ravitch group underwent modified Ravitch operation. The mean operative time , Amount of bleeding, length of stay, duration of recovery, and so on were followed up for 3-24 months to observe the incidence of complications. Results The excellent and good rates of Nuss group and Ravitch group were 91.3% and 95% respectively. The incidence of complications in Ravitch group was 5.0%, slightly higher than that in Nuss group (4.35%), but there was no significant difference between the two groups. Nuss group average operation time, hospital stay, recovery activity time were shorter than the control group, the average amount of bleeding less than the control group, the difference between the groups was statistically significant (P <0.05). Conclusion Nuss surgery has the advantages of safety and minimally invasive, but should pay attention to the choice of surgical indications, serious asymmetric funnel chest and depression heavy confined funnel chest should not be used.