摘要
目的:评价成人复发型漏斗胸免翻转改良Nuss微创手术治疗的安全性及有效性。方法:2008年7月至2021年9月，共48例成人复发型漏斗胸患者上海交通大学医学院附属第九人民医院胸外科和上海交通大学医学院附属新华医院心胸外科进行了免翻转改良Nuss微创手术治疗。前次手术的类型中，Ravitch手术22例，Nuss手术23例，Ravitch合并Nuss手术2例，不详1例。结果:48例患者均完成了手术，术后平均住院天数5.58天，术后平均Haller指数得到了改善，并发症轻微，术后患者对手术矫正效果满意。结论:免翻转改良Nuss微创手术治疗成人复发型漏斗胸，疗效满意，安全性好，未来可作为治疗成人复发型漏斗胸的一种术式选择。
Abstract
Objective:To access the efficacy and safety of minimally invasive surgery of modified Nuss technique without being turned over for the treatment of adult recurrent pectus excavatum.Methods:From July 2008 to September 2021, 48 adult recurrent pectus excavatum cases were treated with minimally invasive surgery of modified Nuss technique without being turned over in the Department of Thoracic Surgery of Shanghai Ninth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine and in the Department of Cardiothoracic Surgery of Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, among which 22 cases were performed previously by Ravitch procedure, 23 cases were Nuss procedure, 2 cases were Ravitch combined with Nuss procedure, 1 case was uncertain respectively.Results:All 48 cases were performed by minimally invasive surgery of modified Nuss technique without being turned over successfully. The average postoperative hospital stays were 5.58 days. The Hallex index was improved. The complications were mild. The patients were all satisfied with their chest appearance after the operation.Conclusions:Minimally invasive surgery of modified Nuss technique without being turned over is effective and safe, which will be a surgical choice for the treatment of adult recurrent pectus excavatum in the future.
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