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目的总结完全胸腔镜及胸腔镜辅助下行心脏畸形合并胸廓畸形矫治术5例的经验,探讨胸腔镜在心脏畸形合并胸廓畸形手术过程中的应用。方法 2010年5月—2010年11月,行胸腔镜下房缺修补术合并漏斗胸2例,室缺修补术合并漏斗胸2例,室缺合并鸡胸1例。其中男性3例,女性2例,年龄2.5~15岁,体重15~35kg。结果术中无扩大切口,无二次开胸止血,手术时间3.5~5.5h,平均4.6h,体外循环时间50~70min,平均45min,升主动脉阻断时间30~45min,平均36min。术后患者恢复良好,治疗效果满意。结论心脏畸形复合胸廓畸形在胸腔镜下或胸腔镜辅助下手术治疗安全、可行。
Objective To summarize the experience of 5 cases undergoing complete thoracoscopic and thoracoscopic assisted cardiac deformity combined with thoracic deformity correction and discuss the application of thoracoscopy in the treatment of cardiac deformity combined with thoracic deformity. Methods From May 2010 to November 2010, 2 cases underwent thoracoscopic atrial septal defect repair combined with funnel chest, 2 cases with ventricular septal defect repair combined with funnel chest, 1 case with atrial septal defect and chicken breast. There were 3 males and 2 females, aged 2.5 to 15 years old and weighing 15 to 35 kg. Results There was no enlargement incision and no secondary thoracotomy. The operation time was 3.5-5.5 hours with an average of 4.6 hours. The cardiopulmonary bypass time was 50-70 minutes with an average of 45 minutes. The ascending aorta occlusion time was 30-45 minutes with an average of 36 minutes. Postoperative patients recovered well and the treatment effect was satisfactory. Conclusions The cardiac malformation combined thoracic deformity is safe and feasible under thoracoscope or thoracoscopic assisted surgery.