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目的总结漏斗胸合并先天性心脏病同期外科治疗的经验。方法回顾性分析5例漏斗胸合并先天性心脏病患者同期手术治疗的临床资料,其中3例采用带腹直肌蒂的胸骨翻转术矫治漏斗胸,1例采用保留双侧胸廓内动脉及腹直肌蒂的胸骨翻转术矫治漏斗胸,另1例采用胸骨抬举术矫治漏斗胸。结果5例患者均治愈出院,随访3~44个月,胸骨稳定性好,外观满意,心脏畸形矫正满意,心功能良好,均为级(NYHA)。结论同期矫正漏斗胸及心内畸形是一种安全可行的治疗方案,节约医疗费用,避免或减少了分期手术及麻醉的风险,减轻了患者痛苦。
Objective To summarize the experience of simultaneous surgical treatment of funnel chest and congenital heart disease. Methods Retrospective analysis of 5 cases of fungal chest complicated with congenital heart disease in patients with surgical treatment of the same period, of which 3 cases with the rectus abdominis sphincter correction of the funnel chest, 1 case of bilateral internal thoracic artery retained and abdominal straight Muscle pedicle sternum inversion surgery funnel chest, another case of sternum lifting instrumentation correction of funnel chest. Results All the 5 patients were cured and discharged. The patients were followed up for 3 to 44 months. The sternal stability was good, the appearance was satisfactory, the cardiac malformation was corrected satisfactorily and the heart function was good. Conclusion Concurrent correction of funnel chest and heart deformity is a safe and feasible treatment program, saving medical costs, to avoid or reduce the risk of staging surgery and anesthesia, reduce patient suffering.