CAJ | 학술논문

漏斗胸(PE)是常见的胸壁凹陷性畸形，其病因尚未明确，且PE患儿易出现心理健康问题。从19世纪20年代的初次尝试，至今手术仍是治疗PE的唯一有效方法。手术方法主要分传统术式和Nuss手术两大类，传统术式因其手术时间长、创伤大、术后恢复慢、并发症重等不足，已基本被弃用。随着Nuss手术的不断开展以及相关设备的改进，其手术指征放宽并被证实具有安全可靠、易于开展等优点，同时学者们对Nuss手术进行了不同形式的改良，但在具体应用上尚未达成共识。本文主要介绍Nuss手术治疗PE的研究进展，以供临床参考。
루두흉(PE)시상견적흉벽요함성기형，기병인상미명학，차PE환인역출현심리건강문제。종19세기20년대적초차상시，지금수술잉시치료PE적유일유효방법。수술방법주요분전통술식화Nuss수술량대류，전통술식인기수술시간장、창상대、술후회복만、병발증중등불족，이기본피기용。수착Nuss수술적불단개전이급상관설비적개진，기수술지정방관병피증실구유안전가고、역우개전등우점，동시학자문대Nuss수술진행료불동형식적개량，단재구체응용상상미체성공식。본문주요개소Nuss수술치료PE적연구진전，이공림상삼고。
Pectus excavatum is the common pediatric congenital anomaly of the chest wall.However its etiology is not yet clear and the patient is prone to mental health problems.Since the early attempts of the 1920’s,surgery is still the only effective treatment of PE.Surgery methods are mainly the conventional surgery and Nuss procedure in two cate-gories.Conventional surgery has largely been abandoned because of the common characteristics of long operation time, severe trauma,slow recovery time and complications etc.With the continuous development of Nuss procedure and the improvement of related equipment,the surgery indications to relax and proved to be a safe and reliable,easy to carry out, at the same time scholars of Nuss procedure conduct research for the different forms of improvement,but have not reached a unified understanding on specific application.This article mainly introduce the research progress of pectus excavatum with the treatment of Nuss operation,for clinical reference.