台灣漏斗胸(凹胸)病友協會

Volume 140, Issue 1, Pages 39-44.e2 (July 2010)







Double-bar application decreases postoperative pain after the Nuss procedure


放置二條矯正板降低納氏手術後疼痛


Tomohisa Nagaso, MDa, Junpei Miyamoto, MDa, Kiyokazu Kokaji, MDb, Ryohei Yozu, MDb, Hua Jiang, MDc, HongMei Jind, Tamotsu Tamaki, PhDe



臨床評估: 14位放置一條矯正板(bar)及10位放置兩條矯正板者比較其按PCA止痛裝置的次數及幾天可以下床.

理論評估: 以電腦斷層之三度空間胸廓模型計算其張力並比較放置一條及二條的差異.


結果

臨床評估: 放置單一矯正板者相對於放置二條者, 使用止痛較頻繁. 也較慢能下床活動.

理論評估: 用兩條矯正板者, 胸廓壓力較小.

結論

兩條矯正板能減緩術後疼痛, 因此, 當胸廓異常範圍大, 程度大時, 應考慮放兩條.
Performing double-bar placement decreases postoperative pain. Therefore, surgeons should not hesitate to perform double-bar correction in patients in whom the deformity extends to multiple intercostal spaces, requiring correction of the thorax shape at multiple sites.