漏斗胸Nuss术不同年龄组临床疗效对比分析  

Comparative study of the clinical efficacy of the Nuss procedure for pectus excavatum in different age groups

作　　者：胡为才[1] 杨光煜[1] 赵璞[1] 董冠中[1] 

机构地区：[1]河南省人民医院胸外一病区,郑州450003

出　　处：《临床外科杂志》2016年第8期614-616,共3页Journal of Clinical Surgery

摘　　要：目的 分析漏斗胸Nuss术应用于不同年龄患者的临床疗效.方法 接受Nuss术治疗的漏斗胸患者120例,将120例患者按年龄分成3组,A组20例,年龄＞12岁;B组37例,年龄8～12岁;C组63例,年龄4～7岁.比较3组患者的临床指标、并发症及治疗效果.结果 A组的手术时间长于B组和C组,差异有统计学意义（P＜0.05）;3组患者术后下床时间比较差异有统计学意义,年龄越大,术后下床时间越晚（P＜0.01）;A组并发症发生率与C组比较,差异有统计学意义（P＜0.01）;3组间疗效优率比较,差异无统计学意义,但A组与B组间优率比较差异有统计学意义（P＜0.05）.结论 不同年龄组患者行漏斗胸Nuss术均能取得较好疗效,年龄越小并发症越少,治疗优良率越高.Objective To analyze the clinical efficacy of the Nuss procedure for pectus excava- turn in different age groups. Methods A total of 120 cases of funnel chest patients treated with Nuss pro- cedure were enrolled and divided into 3 groups according to the age：group A （ 〉 12 y,n =20） ,group B （ 8 - 12 y, n = 37 ）, and group C （ d - 7 y, n = 63 ）. The clinical indexes, complications and therapeutic effects of the three groups were compared. Results Compared with group B and C, the operation time of group A was significantly longer （ P 〈 0.05 ）. There were significant differences in postoperative ambula- tion time and it increased with age （P 〈 0.01 ）. The difference in complication incidence was statistically significant between group A and C （P 〈0.01 ）. No difference in the effective rate was noticed among the three groups but there was a significant difference in the effective rate between group A and B （P 〈 0.05 ）. Conclusion For the treatment of pectus excavatum. Nuss procedure is effective in all different age groups. Young patients may have fewer complications and better efficacy.

关 键 词：漏斗胸 NUSS术 年龄 疗效 

分 类 号：R726.5[医药卫生—儿科]