漏斗胸合并先心病同期手术治疗14例

Simultaneous repair of pectus excavatum associated with congenital heart disease

目的总结同期手术矫治漏斗胸合并先心病的临床经验和疗效。方法2000年至2012年我们采用3种不同术式同期手术矫治漏斗胸合并先心病患儿14例，其中男10例，女4例，年龄3-14岁。回顾性分析患儿手术方法、并发症、术后疗效及随访情况。结果14例患儿手术顺利，术后除1例胸腔积液和1例伤口延期愈合外，无其它并发症，随访6个月至5年，心内修补和漏斗胸矫治均疗效满意。结论根据患儿病情、意愿和术者经验选择合理的手术方式，同期矫治漏斗胸合并先心病，并发症少，远期疗效满意。

Objective To summarize clinical experience and effects of simultaneous repair of pectus ex-cavatum associated with congenital heart disease. Methods From 2000 to 2012,we repaired pectus excava-tum and congenital heart defects simultaneously in 14 children ,aged from 3 years to 14 years old,10 male and 4 female,using 3 different surgical procedures.Surgical approaches,complications,postoperative effects and follow -up results were retrospectively analyzed. Results All operations went well,and there were no major complications except pleural effusion in one patient and delayed wound healing in another one.Patients were followed up 6 months to 5 years,and their clinical results were quite satisfactory. Conclusion Choosing ap-propriate surgical procedures based on patients ＇conditions and wishes as well as operator ＇s experience,simulta-neous repair of pectus excavatum and heart defects can be done with minimal complications and satisfactory long-term results.