PDF(Pubmed)
Abstract：
BACKGROUND: Pectus carinatum (PC) mainly present at the growth spurt time of the early teenage years or the puberty. Poor outer appearance is a major reason for seeking help for surgeons to increase self-confidence and self-esteem. At present, minimally invasive repair (MIR) is one of effective ways to correct the chest wall deformity. Therefore, there is great practical significance to conduct clinical research on MIR about the adolescent PC.
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.
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.
摘要：
背景：卡氏胸（PC）主要存在于青少年早期或青春期的生长高峰时期。外貌不佳是寻求外科医生帮助以增强自信心和自尊的主要原因。目前,微创修复是矫正胸壁畸形的有效方法之一。因此,开展青少年PC的MIR临床研究具有重要的现实意义。
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。
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。
