摘要
目的 探讨漏斗胸术后心脏功能的变化。方法 用超声心动图测定４１ 例漏斗胸患儿术前、术后的心脏功能， 并选择年龄、性别、身高、体重相同的正常儿童作对照。结果 漏斗胸患儿术前射血分数（ＥＦ） 与平均左心室周径缩短率（ＭＶＣＦ）与对照组相比有降低（ Ｐ＜ ０．０５）， 长期随访发现患儿术后ＥＦ、ＭＶＣＦ与每搏输出量较术前有上升（ Ｐ＜ ０ ．０１）， 而且这些指标与对照组相比差异无显著性（ Ｐ＞ ０ ．０５） 。结论 漏斗胸术后患儿的心脏功能可恢复正常。
Objective To assess the long term effects on cardiac function after operative correction of pectus excavatum (PE) in children. Methods Forty one children with PE underwent M mode echocardiogram before and 2 8 years after the corrective operation. Forty one children whose gender, age and body weight matched with these patients were served as control. Results Preoperative ejection fraction (EF) and velocity of circumferential fiber shortening (MVCF) were significantly lower than those of the controls ( P < 0.01 ), whereas stroke volume (SV) and fractional shortening of the minor semi axis (FS) showed no difference ( P > 0.05 ). Postoperatively, there was no change in FS, but EF, MVCF and SV increased significantly ( P < 0.05 ) and were comparable to those of the controls ( P > 0.05 ). Conclusions Cardiac function in patients with PE was compromised. It can be gradually restored to normal after correction.
出处
《中华小儿外科杂志》
CSCD
1999年第2期78-79,共2页
Chinese Journal of Pediatric Surgery
