采用改良胸骨闭合术预防肥胖患者胸骨裂开。
Advanced sternal closure to prevent dehiscence in obese patients.
作者信息
Kiessling Arndt-H, Isgro Frank, Weisse Udo, Möltner Andreas, Saggau Werner, Boldt Joachim
机构信息
Department of Cardiac Surgery, Klinikum Ludwigshafen, Ludwigshafen, Germany.
出版信息
Ann Thorac Surg. 2005 Oct;80(4):1537-9. doi: 10.1016/j.athoracsur.2004.04.050.
Sternal dehiscence is a frequent complication after cardiac surgical procedures. The objective was to evaluate a novel method for advanced sternal closure compared with standard techniques for preventing sternal dehiscence. Our investigation comprised 100 patients with a body mass index above 32. Patients were randomly assigned to receive either advanced sternal closure with three stainless steel double wires or standard techniques with stainless steel single wires. The incidence of sternal refixation was 6 of 50 patients in the standard techniques group and 1 of 50 in the advanced sternal closure group during a follow-up period of 6 months.
胸骨裂开是心脏外科手术后常见的并发症。目的是评估一种用于胸骨高级闭合的新方法，并与预防胸骨裂开的标准技术进行比较。我们的研究包括100名体重指数高于32的患者。患者被随机分配接受三根不锈钢双线的胸骨高级闭合或不锈钢单线的标准技术。在6个月的随访期内，标准技术组50名患者中有6名发生胸骨重新固定，而胸骨高级闭合组50名患者中有1名发生。
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