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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 funnel chest Nuss technique in patients of different ages. Methods A total of 120 patients with funnel chest treated with Nuss technique were divided into three groups according to age: group A, 20 cases, aged> 12 years; group B, 37 cases, aged 8-12 years; group C, 63 cases, age 4 ~ 7 years old. The clinical indexes, complications and therapeutic effects of the three groups were compared. Results The operation time of group A was longer than that of group B and group C (P <0.05). There was significant difference between the three groups in getting out of bed after operation. The older the group, the later time of getting out of bed (P <0.01). The incidence of complications in group A was significantly higher than that in group C (P <0.01). There was no significant difference in the efficacy rates between the three groups, but there was no significant difference between group A and group B The difference was statistically significant (P <0.05). Conclusions Nuss operation of the funnel chest in different age groups can achieve better curative effect. The younger the complication, the higher the excellent rate of treatment.