Nuss手术与改良Ravitch手术治疗漏斗胸的对比研究

J4 ›› 2015, Vol. 14 ›› Issue (8): 28-31.

Nuss手术与改良Ravitch手术治疗漏斗胸的对比研究

（大理学院临床医学院，云南大理671000）

收稿日期:2014-11-13 出版日期:2015-08-15 发布日期:2015-08-15
作者简介:李娜，硕士研究生，主要从事小儿外科基础与临床研究.

Compararison of Nuss Procedure and Modified Ravitch Procedure for Pectus Excavatum Repair

（Clinical College, Dali University, Dali, Yunnan 671000, China）

Received:2014-11-13 Online:2015-08-15 Published:2015-08-15

摘要/Abstract

摘要：

目的：比较Nuss手术与改良Ravitch手术治疗漏斗胸的疗效。方法：回顾性分析26例漏斗胸患者的临床资料，根据手术
方式分为Nuss组10例和改良Ravitch组16例，比较分析两组的手术时间、术中出血量、并发症和住院天数等。结果：26例均顺
利完成手术并获得满意的胸廓外观，两组患儿平均年龄无差异，平均手术时间、术中出血量Nuss组优于改良Ravitch组（P <
0.05），两组住院天数、并发症发生率的比较差异无统计学意义（P >0.05）。结论：在漏斗胸治疗中，Nuss手术与改良Ravitch手
术均能获得满意的矫形效果，但Nuss手术时间短、创伤小、出血少。

关键词: 漏斗胸, Nuss手术, 改良Ravitch手术, 治疗效果

Abstract:

Objective: To compare the results of Nuss procedure and modified Ravitch procedure in the management of pediatric
pectus excavatum. Methods: The clinical data of 26 cases who received pectus excavatum repairs were analyzed retrospectively and
they were divided into Nuss group in 10 and modified Ravitch group in 16 according to the procedure performed on them. The lasting
time and amount of bleeding in operation, average hospital days and complications were compared between two groups statistically.
Results: Operation was performed on all patients successfully and satisfied thoracic appearance obtained. The average age is no
difference compared between two groups. The operative time was shorter and less bleeding in Nuss group than that in modified Ravitch
group（P <0.05）but no statistical significance hospital days and complications compared between two groups（P >0.05）. Conclusion:
Satisfactory orthopedic effect can be obtained whether Nuss procedure or modified Ravitch procedure for pectue excavatum repair but
Nuss procedure with the advantages of shorter operative time, less trauma and less bleeding in operation.

Key words: pectus excavatum, nuss procedue, modified Ravitch procedure, orthopedic effect

中图分类号:

R682.1+ 9

李娜，王宁，张杉杉，张牡丹，Bijay Upadhyay，吴学东. Nuss手术与改良Ravitch手术治疗漏斗胸的对比研究[J]. J4, 2015, 14(8): 28-31.

Li Na, Wang Ning, Zhang Shanshan, Zhang Mudan, Bijay Upadhyay, Wu Xuedong. Compararison of Nuss Procedure and Modified Ravitch Procedure for Pectus Excavatum Repair[J]. J4, 2015, 14(8): 28-31.