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目的:探讨儿童先天性心脏病(congenital heart disease，CHD)合并漏斗胸最佳的治疗策略。方法:回顾性分析2007年7月到2018年5月间于湖南省儿童医院住院治疗的17例先天性CHD合并漏斗胸患儿的资料，男10例，女7例，年龄(4.5±2.7)岁，年龄范围1～12.7岁，体重(14.5±5.2)kg ，体重范围7.5～27.5 kg。其中单纯室间隔缺损4例，单纯房间隔缺损8例，室间隔缺损合并房间隔缺损3例，室间隔缺损合并房间隔缺损、动脉导管未闭1例，室间隔缺损合并肺动脉高压1例。根据年龄及漏斗胸程度，分别接受游离提拉胸骨、自制胸骨抬举装置、NUSS钢板的治疗，CHD分别接受体外循环下心内直视手术(经胸骨正中切口或右腋下直切口)或经皮及经心导管封堵治疗。结果:17例患儿均接受同期手术矫治，心内畸形矫治及漏斗胸均矫治成功，住院时间(13.2±4.8)d，住院时间范围为(8～25)d。有2例切口延期愈合，1例术后左侧少量胸腔积液，无手术死亡、大出血及胸腔脏器损伤、排异反应等并发症。结论:依据患儿的特点，选择个体化的方案予以同期矫治儿童CHD合并漏斗胸，可避免多次手术、麻醉的风险，安全有效。“,”Objective:To explore the optimal surgical strategy for children with pectus excavatum (PE) and concurrent congenital heart defect (CHD).Methods:From July 2007 to May 2018, retrospective reviews were conducted for medical records of 17 children undergoing simultaneous repair of PE with concurrent CHD.There were 10 boys and 7 girls with an average age of (4.5±2.7)(1-12.7) years and an avergae body weight of (14.5±5.2)(7.5-27.5) kg.There were simple ventricular septum defect (VSD, n n=4), simple atrial septum defect (ASD, n n=8), VSD & ASD ( n n=3), VSD & ASD & patent ductus arteriosus (PDA, n n=1) and VSD with pulmonary hypertension (n n=1). For repairing PE, open sternal elevation was performed with liberating tissue from posterior sternum, lifting sternum by wires, Nuss plating and a custom-made sternal lifting device.CHD was corrected by open heart surgery via cardiopulmonary bypass or transcatheter closure under echocardiography or radiology-guided percutaneous intervention.n Results:Among them, the operations led to satisfactory repair of both conditions without serious complications.All parents and children were satisfied with postoperative chest appearances.The mean duration of hospitalization was (13.6±4.8)(8-25) days.The postoperative complications were delayed wound healing (n n=2) and minimal left pleural effusion (n n=1). There was no occurrence of such severe complications as surgical mortality, major hemorrhage, chest organ injuries or implant rejection.n Conclusions:According to the characteristics of patients, individualized approaches are selected for correcting PE and concurrent CHD.Both safe and effective, such a strategy avoids the risks of multiple operations and anesthesia and the outcomes are satisfactory.