Kowalewski J, Dryjański T
I Kliniki Chirurgicznej Instytutu Chirurgii WAM, Lodzi.
Kardiol Pol. 1993 Feb;38(2):103-6.
An analysis of echocardiographic examination in 22 patients operated for funnel chest is presented. Patients were divided into two groups: group I--isolated anomaly, and group II--patients with coexistent other postural deformations. During the operation, rib's cartilages in the parasternal region were excised, sternum was cut transversally above the deformation and longitudinally across it, and than anterior thoracic wall was stabilized in the proper position with Kirschner's wires. Before and 6 months after surgery echocardiographic examinations were performed with systolic, diastolic and ejection volume indices calculation. marked haemodynamic improvement was noted with the increase of diastolic and ejection volume of both heart ventricles. Improvement was more evident in patients with severe deformations and with coexistent other postural anomalies.
本文呈现了对22例接受漏斗胸手术患者的超声心动图检查分析。患者被分为两组：第一组——单纯畸形，第二组——合并其他姿势性畸形的患者。手术过程中，切除胸骨旁区域的肋软骨，在畸形上方横向切开胸骨并纵向穿过畸形部位，然后用克氏针将前胸壁固定在合适位置。在手术前和术后6个月进行超声心动图检查，并计算收缩、舒张和射血容积指数。随着两个心室舒张和射血容积的增加，观察到明显的血流动力学改善。在严重畸形和合并其他姿势性异常的患者中，改善更为明显。
