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目的总结采用带上下血管蒂胸骨翻转术治疗漏斗胸22例的经验和体会。方法全组均采用保留双胸廓内动脉和腹直肌血管,行胸骨180°翻转,翻转后将保留的血管蒂置于胸骨前。结果本组病例术后均有明显效果,无胸骨缺血坏死,无肺不张和肺部感染,胸腔积液2例,均痊愈出院。术后随访1～5年无复发。结论带上下血管蒂胸骨翻转术治疗漏斗胸近远期效果满意。
Objective To summarize the experience and experience of treating 22 cases of funnel chest with upper and lower blood vessels pedicled sternotomy. Methods All the patients were kept with double thoracic internal carotid artery and rectus abdominis blood vessels, and the sternum was inverted at 180 °. After the inversion, the reserved vascular pedicle was placed in front of the sternum. The results of this group of patients were significantly effective after surgery, no sternal ischemic necrosis, no atelectasis and pulmonary infection, pleural effusion in 2 cases, were cured and discharged. Follow-up 1 to 5 years without recurrence. Conclusion The treatment of upper and lower vascular functomy with stenosed pedicle stenosis is satisfactory.