Based on orthopedic evaluation of thoracic shape and related factors during the steel plate implantation of pectus excavatum after Nuss surgical operation
10.3760/cma.j.cn112434-20221205-00372
- VernacularTitle:基于漏斗胸Nuss术后钢板置入期间胸廓外形矫形评价及相关因素分析
- Author:
Jun BIAN
1
;
Weidong SHI
;
Wenze DING
;
Huiqiang CAI
;
Xiangning ZHANG
;
Qiang WEI
;
Bolin CHEN
;
Yuxin WANG
;
Shuaiyu ZHAO
Author Information
1. 西安市儿童医院 西安交通大学附属儿童医院普外一科，西安 710003
- Keywords:
Pectus excavatum;
Postoperative;
Thoracic shape;
Orthopaedic evaluation;
Risk factors
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2023;39(10):610-614
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the incidence and factors of the influence of preoperative related factors on postoperative orthopedic evaluation, through the evaluation of thoracic shape orthopedic evaluation of children pectus excavatum, during plate implantation after Nuss procedure.Methods:From April 2012 to April 2019, the clinical data were analyzed retrospectively for 159 hospitalized cases of Nuss procedure for pectus excavatum in Xi’an Children’s Hospital.The mean age was(6.8±3.4) years old(3.2-17.0 years old); males 124, females 35; Haller index 4.0±1.0(2.7-7.5); 6 cases(4%) were poor orthopedic evaluation with the thoracic shape, males 5, femal 1; 23 cases (14%) were average satisfied with the thoracic shape, males 16, femals 7; 130 cases (82%)were good orthopedic evaluation with the thoracic, males 103, femals 27. Follow-ups were conducted for at least 2 years, Retrospective analysis of the relationship between postoperative thoracic satisfaction and age, gender, Haller index, how the plates were placed during surgery and symmetry of funnel chest, t test and χ2 test were used for statistical analysis. Results:There were statistically significant differences between thoracic orthopedic evaluation after postoperative and classification of pectus excavatum ( P=0.001), and poor orthopedic evaluation after asymmetric pectus excavatum operationand ; There were no significant differences in gender, Haller index, surgical method and how the plates were placed during surgery( P>0.05). However, it can be seen from the mean and percentage that with the decrease of age, and the increase of Haller index, the orthopedic evaluation gradually becomes worse. Conclusion:According to our single-center study, asymmetric pectus excavatum is a factor for poor orthopedic evaluation during plate implantation after Nuss, especially for young children and children with larger Haller index.
