Sarlak A Y, Gündeş H, Gündeş S, Alp M
Department of Orthopedic Surgery, Faculty of Medicine, Kocaeli University, Turkey.
Thorac Cardiovasc Surg. 2001 Feb;49(1):58-9. doi: 10.1055/s-2001-9922.
Primary sternal tuberculosis is very rare. Only few cases have been reported in the English-language literature. We present a case of primary sternal tuberculosis that had intractable drainage for 18 months. Diagnosis was confirmed with biopsy, and there were no other tuberculous foci. No improvement was achieved in the status of the wound despite 4 months of chemotherapy. We applied the principles as in bacterial osteomyelitis of sternum, resected the wound and covered it with a pectoralis major musculocutaneous rotational flap. The wound healed, and there was no recurrence 24 months after surgery.
原发性胸骨结核非常罕见。英文文献中仅报道过少数病例。我们报告一例原发性胸骨结核病例，该病例有18个月的顽固性引流。通过活检确诊，且无其他结核病灶。尽管进行了4个月的化疗，伤口状况仍无改善。我们应用了与胸骨细菌性骨髓炎相同的原则，切除伤口并用胸大肌肌皮旋转皮瓣覆盖。伤口愈合，术后24个月无复发。
