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犬正中胸骨切开术的闭合:缝线与金属丝的比较

Closure of median sternotomy in dogs: suture versus wire.

作者信息

Pelsue Davyd H, Monnet Eric, Gaynor Jamie S, Powers Barbara E, Halling Krista, Parker Denise, Golden Anne

机构信息

Veterinary Teaching Hospital of Colorado State University, Fort Collins 80523, USA.

出版信息

J Am Anim Hosp Assoc. 2002 Nov-Dec;38(6):569-76. doi: 10.5326/0380569.

Abstract

Twenty normal, large-breed dogs underwent median sternotomy. Median sternotomies were closed with 20-gauge orthopedic wire in 10 dogs and no. 2 polybutester in 10 dogs. Closure with suture was faster than with wire (6.7 +/- 1.8 minutes versus 9.1 +/- 1.9 minutes, respectively). Significant differences were not observed in degree of postoperative pain or wound complication rates. Sternotomies closed with wire showed a trend to be more stable and had significantly less displacement on radiographic evaluation at 28 days. All sterna closed with wire examined histopathologically showed evidence of chondral or osteochondral bridging, while sterna closed with suture only showed fibrous union.

摘要

20只正常的大型犬接受了正中胸骨切开术。10只犬用20号骨科钢丝闭合正中胸骨切开术,10只犬用2号聚丁酯闭合。用缝线闭合比用钢丝闭合更快(分别为6.7±1.8分钟和9.1±1.9分钟)。术后疼痛程度或伤口并发症发生率未观察到显著差异。用钢丝闭合的胸骨切开术显示出更稳定的趋势,在术后28天的影像学评估中移位明显更少。所有经组织病理学检查用钢丝闭合的胸骨均显示有软骨或骨软骨桥接的证据,而仅用缝线闭合的胸骨仅显示纤维性愈合。

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