Xin Pengge,Mou Yaru,Ding Yiming,et al.Efficacy of double-bar versus single-bar Nuss surgery for pectus excavatum in children aged 13-18:a comparative study[J].Journal of Clinical Pediatric Surgery,2025,(04):356-361.[doi:10.3760/cma.j.cn101785-202410053-010]
Efficacy of double-bar versus single-bar Nuss surgery for pectus excavatum in children aged 13-18:a comparative study
- Keywords:
- Funnel Chest; Adolescent; Surgical Procedures; Operative; Nuss surgery; Methods; Video-assisted Thoracic Surgery; Treatment Outcome; Comparative Study
- Abstract:
- Objective To summarize the feasibility and surgical experience of double-bar Nuss surgery for pectus excavatum (PE) in elder children aged 13-18 years and compare the differential efficacy with single-bar Nuss surgery.Methods The relevant clinical data were retrospectively reviewed for 66 PE children undergoing double-bar Nuss surgery from January 2019 to September 2023 and 62 elder PE children undergoing single-bar Nuss surgery from January 2014 to December 2018.The perioperative and follow-up data of two groups were statistically analyzed,and the differences in the efficacy of the two types of surgery were summarized and analyzed.Results All operations were completed successfully.As compared with single-bar group,operative duration became prolonged in double-bar group,postoperative pain time was shortened,the incidence of bar displacement declined and excellent rate of postoperative efficacy evaluation improved.No significant inter-group differences existed in intraoperative volume of blood loss,postoperative hospital stay,postoperative fever time or overall complication rate.Conclusions As compared with single-bar counter-part,double-bar method offers the advantages of shorter postoperative pain time,lower plate displacement rate and better postoperative efficacy evaluation.It is worthy of wider clinical promotion.
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Memo
收稿日期:2024-10-23。
通讯作者:王健,Email:wjdoctor2021@126.com