Clinical Analysis of 39 Patients with Second Pectus Excavatum Surgery_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

王文林

广东省第二人民医院心胸外科, 广州 510317;

Corresponding author：

Keywords：

漏斗胸; 二次手术; 改良Nuss手术

DOI：

10.7507/1007-4848.20160242

Video：

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目的总结二次漏斗胸手术经验。方法回顾性分析我院2009年1月至2015年9月39例二次漏斗胸手术患者的临床资料，男31例、女8例，年龄5～27（13.39±7.61）岁，其中心脏手术后11例、Nuss手术后21例、胸骨翻转术后5例、Ravitch术后2例。单纯凹陷畸形33例，合并前凸畸形6例。Haller指数3.3～6.5（4.53±0.31）。对单纯凹陷畸形采用改良Nuss手术，对合并前凸畸形采用“三明治”手术治疗。结果本组无死亡病例，多数患者畸形均得到改善，手术时间53～133（79.09±19.13）min，住院时间5～13（7.09±1.90）d。术后并发症包括皮下气肿2例、气胸3例、肺不张1例、胸腔积液1例。随访1～45个月，随访率94.87%。依据漏斗胸术后评价标准进行评价，效果非常满意31例，基本满意7例，不满意1例。结论采用特殊的手术方法，可以安全完成二次漏斗胸手术。

Citation： 王文林. Clinical Analysis of 39 Patients with Second Pectus Excavatum Surgery. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23(10): 1026-1028. doi: 10.7507/1007-4848.20160242 Copy

1.	王文林, 陈春梅, 龙伟光, 等. 全胸膜外漏斗胸微创手术. 实用医学杂志, 2015, 31(8): 1380-1381.
2.	王文林, 陈春梅, 龙伟光, 等. 高龄漏斗胸治疗的经验. 实用医学杂志, 2015, 31(7,增刊): 311-312.
3.	Tanaka Y, Miyamoto T, Yoshitake S, et al. Simple and useful method to minimize tracheal compression resulting from concave sternum during congenital heart surgery. Ann Thorac Surg, 2015, 100(5): 1901-1903.
4.	Jaroszewski DE, Ewais MM, Gotway MB, et al. Successful singleton and twin pregnancies with the nuss bars in place. Ann Thorac Surg, 2015, 100(5): 1877-1878.
5.	Takahashi T, Okazaki T, Yamataka A, et al. Usefulness of Kent retractor and lifting hook for Nuss procedure. Pediatr Surg Int, 2015, 31(11): 1103-1105.
6.	Tang M, Nielsen HH, Lesbo M, et al. Improved cardiopulmonary exercise function after modified Nuss operation for pectus excavatum. Eur J Cardiothorac Surg, 2012, 41(5):1063-1067.
7.	Park CH, Kim TH, Haam SJ, et al.Rib overgrowth may be a contributing factor for pectus excavatum: Evaluation of prepubertal patients younger than 10years old. J Pediatr Surg, 2015, 50(11): 1945-1948.
8.	Poston PM, McHugh MA, Rossi NO, et al. The case for using the correction index obtained from chest radiography for evaluation of pectus excavatum. J Pediatr Surg, 2015, 50(11): 1940-1904.
9.	Dalton BG, Gonzalez KW, Millspaugh DL, et al. Pectus excavatum: Benefit of randomization. J Pediatr Surg, 2015, 50 (11): 1937-1939.
10.	Park CH, Kim TH, Haam SJ, et al. Asymmetric pectus excavatum is associated with overgrowth of ribs rather than cartilage. Thorac Cardiovasc Surg, 2015, 63(5): 427-432.
11.	刘玉, 邹志强, 杨露, 等. 非胸腔镜辅助Nuss手术治疗漏斗胸51例分析.中国胸心血管外科临床杂志, 2015, 22( 2): 139-142.
12.	Bilgi Z, Ermerak NO, Bostanc K, et al. Feasibility and complications in concomitant lung resection with minimally invasive repair of pectus excavatum. Ann Thorac Surg, 2015, 100(2): 707-709.
13.	Soccorso G, Parikh DH, Worrollo S. Customized silicone implant for the correction of acquired and congenital chest wall deformities: A valuable option with pectus excavatum. J Pediatr Surg, 2015, 50(7): 1232-1235.
14.	Kim KH, Lee KY, Lee JB, et al. Radiologic factors related to double-bar insertion in minimal invasive repair of pectus excavatum. World J Pediatr, 2015, 11(2): 148-153.
15.	Andreetti C, Menna C, Cassiano F, et al. Seven months: the perfect time to complete the pectus excavatum correction. Eur J Cardiothorac Surg, 2015, 47(5): e232.

1. 王文林, 陈春梅, 龙伟光, 等. 全胸膜外漏斗胸微创手术. 实用医学杂志, 2015, 31(8): 1380-1381.
2. 王文林, 陈春梅, 龙伟光, 等. 高龄漏斗胸治疗的经验. 实用医学杂志, 2015, 31(7,增刊): 311-312.
3. Tanaka Y, Miyamoto T, Yoshitake S, et al. Simple and useful method to minimize tracheal compression resulting from concave sternum during congenital heart surgery. Ann Thorac Surg, 2015, 100(5): 1901-1903.
4. Jaroszewski DE, Ewais MM, Gotway MB, et al. Successful singleton and twin pregnancies with the nuss bars in place. Ann Thorac Surg, 2015, 100(5): 1877-1878.
5. Takahashi T, Okazaki T, Yamataka A, et al. Usefulness of Kent retractor and lifting hook for Nuss procedure. Pediatr Surg Int, 2015, 31(11): 1103-1105.
6. Tang M, Nielsen HH, Lesbo M, et al. Improved cardiopulmonary exercise function after modified Nuss operation for pectus excavatum. Eur J Cardiothorac Surg, 2012, 41(5):1063-1067.
7. Park CH, Kim TH, Haam SJ, et al.Rib overgrowth may be a contributing factor for pectus excavatum: Evaluation of prepubertal patients younger than 10years old. J Pediatr Surg, 2015, 50(11): 1945-1948.
8. Poston PM, McHugh MA, Rossi NO, et al. The case for using the correction index obtained from chest radiography for evaluation of pectus excavatum. J Pediatr Surg, 2015, 50(11): 1940-1904.
9. Dalton BG, Gonzalez KW, Millspaugh DL, et al. Pectus excavatum: Benefit of randomization. J Pediatr Surg, 2015, 50 (11): 1937-1939.
10. Park CH, Kim TH, Haam SJ, et al. Asymmetric pectus excavatum is associated with overgrowth of ribs rather than cartilage. Thorac Cardiovasc Surg, 2015, 63(5): 427-432.
11. 刘玉, 邹志强, 杨露, 等. 非胸腔镜辅助Nuss手术治疗漏斗胸51例分析.中国胸心血管外科临床杂志, 2015, 22( 2): 139-142.
12. Bilgi Z, Ermerak NO, Bostanc K, et al. Feasibility and complications in concomitant lung resection with minimally invasive repair of pectus excavatum. Ann Thorac Surg, 2015, 100(2): 707-709.
13. Soccorso G, Parikh DH, Worrollo S. Customized silicone implant for the correction of acquired and congenital chest wall deformities: A valuable option with pectus excavatum. J Pediatr Surg, 2015, 50(7): 1232-1235.
14. Kim KH, Lee KY, Lee JB, et al. Radiologic factors related to double-bar insertion in minimal invasive repair of pectus excavatum. World J Pediatr, 2015, 11(2): 148-153.
15. Andreetti C, Menna C, Cassiano F, et al. Seven months: the perfect time to complete the pectus excavatum correction. Eur J Cardiothorac Surg, 2015, 47(5): e232.

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