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目的探讨自行设计胸外悬吊固定术治疗新生儿漏斗胸的手术方法及早期矫形效果。方法于2005年3月至2007年5月,对3例患漏斗胸的新生儿在心脏外科技术辅助下行胸外悬吊固定手术,并设计出个性化的弓型固定棒实施矫形。3例均为男性;年龄7、19、28d。结果3例均顺利完成手术,无术中并发症。手术时间20~30min,术中平均出血量<5ml,术中、术后无并发症发生。术后平均住院6d。10d后畸形矫正、去除固定,外观满意。结论自行设计胸外悬吊固定术治疗新生儿漏斗胸安全可行,能在短期内取得良好的矫形效果。
Objective To investigate the surgical method and early orthopedic effect of self-designed thoracic suspension fixation for neonatal funnel chest. Methods From March 2005 to May 2007, 3 newborn infants with funnel chest were assisted by cardiac surgery to suspend the thoracic surgery and designed the personalized arch fixation rod. 3 cases were male; age 7,19,28 d. Results All the 3 cases were successfully performed without any intraoperative complications. Surgery time 20 ~ 30min, intraoperative blood loss <5ml, intraoperative and postoperative complications. The average postoperative hospitalization 6d. After 10d deformity correction, remove the fixed, the appearance of satisfaction. Conclusion Self-designed thoracic suspension fixation for neonatal funnel chest is safe and feasible, and can achieve good orthopedic effect in a short period of time.