METHODS: We applied Abramson procedure in PC group or we applied Abramson procedure and Nuss procedure in PC/PE group. We retrospectively reviewed the results of 41 cases who underwent the surgical correction at our department from January 2020 to April 2023.
RESULTS: All the procedures were successfully done without severe complications. The median operation Time was 80 min in PC group while was 130 min in PC/PE group. The median LOS were 4 days in PC group while 5 days in PC/PE group. The median compression depth was 32 mm in PC group while 12 mm in PC/PE group. Postoperatively, there are some complications. All Pneumothorax patients being treated conservatively were found in 9 patients in two groups. One patient suffered overcorrection after operation. There were 3 patients suffered steel wires breakage in two groups. One patient reoperation postoperatively for the dislocation of the bar secondary to steel wires breakage.
CONCLUSIONS: The Abramson procedure or Abramson procedure and Nuss procedure have good short-term results in repair PC and PC/PE. Select one or two procedures should be done individually based on whether the lower plane over depressed after Abramson procedure.
方法:我们在PC组中应用了Abramson程序,或者在PC/PE组中应用了Abramson程序和Nuss程序。我们回顾性回顾了2020年1月至2023年4月在我科接受手术矫正的41例患者的结果。
结果:所有手术均成功完成,无严重并发症。PC组中位手术时间为80min,PC/PE组为130min。PC组LOS中位数为4天,PC/PE组为5天。PC组压缩深度中位数为32mm,PC/PE组为12mm。术后,有一些并发症。两组9例气胸患者均接受保守治疗。一名患者术后过度矫正。两组均有3例钢丝断裂。一名患者术后再次手术,导致钢丝断裂导致棒材脱位。
结论:Abramson程序或Abramson程序和Nuss程序在修复PC和PC/PE方面具有良好的短期效果。根据Abramson程序后下平面是否过度压下,应分别选择一个或两个程序。