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[心脏手术后钛板内固定治疗胸骨伤口感染]

[The treatment of sternal wound infection by internal fixation of sternum with titanium plate after cardiac surgery].

作者信息

Qi Fa-Zhi, Feng Zi-Hao, Zhang Yong, Gu Jian-Ying

机构信息

Department of Plastic and Reconstructive Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.

出版信息

Zhonghua Zheng Xing Wai Ke Za Zhi. 2013 Jan;29(1):8-11.

PMID:23600121
Abstract

OBJECTIVE

To investigate the internal fixation of sternum with titanium plate for the treatment of sternal wound infection after cardiac surgery.

METHODS

A retrospective study of 26 patients from Jan 2009 to Dec 2011 was carried out. All the 26 cases with sternal wounds infection after cardiac surgery, were treated by internal fixation with titanium plates.

RESULTS

All the patients had chronic infection, lasting for more than 3 months. 3 patients received vacuum-assisted closure treatment after complete debridement. All the wounds were covered with pectoral major muscle flap. All the wounds healed completely with no recurrence of infection.

CONCLUSIONS

Internal fixation of sternum with titanium plate can increase the stability. It helps to improve the treatment efficacy of sternal wound infection after cardiac surgery.

摘要

目的

探讨钛板内固定治疗心脏手术后胸骨伤口感染的效果。

方法

回顾性分析2009年1月至2011年12月期间的26例患者。这26例心脏手术后胸骨伤口感染患者均采用钛板内固定治疗。

结果

所有患者均为慢性感染,持续时间超过3个月。3例患者在彻底清创后接受了负压封闭引流治疗。所有伤口均采用胸大肌肌瓣覆盖。所有伤口均完全愈合,无感染复发。

结论

钛板内固定胸骨可增加稳定性。有助于提高心脏手术后胸骨伤口感染的治疗效果。

相似文献

1
[The treatment of sternal wound infection by internal fixation of sternum with titanium plate after cardiac surgery].[心脏手术后钛板内固定治疗胸骨伤口感染]
Zhonghua Zheng Xing Wai Ke Za Zhi. 2013 Jan;29(1):8-11.
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Sternal reconstruction with titanium plates in complicated sternal dehiscence.钛板用于复杂胸骨裂开的胸骨重建术。
Eur J Cardiothorac Surg. 2008 Jul;34(1):139-45. doi: 10.1016/j.ejcts.2008.03.030. Epub 2008 May 1.
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Transomental titanium plates for sternal osteomyelitis in cardiac surgery.经膈钛板用于心脏手术中的胸骨骨髓炎
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Titanium plate fixation versus conventional approach in the treatment of deep sternal wound infection.钛板固定术与传统方法治疗深部胸骨伤口感染的对比
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Primary sternal plating in high-risk patients prevents mediastinitis.高危患者的一期胸骨钢板固定可预防纵隔炎。
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Transverse plate fixation of sternum: a new sternal-sparing technique.
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New transverse plate fixation system for complicated sternal wound infection after median sternotomy.用于正中开胸术后复杂胸骨伤口感染的新型横板固定系统
Ann Thorac Surg. 2007 Mar;83(3):1210-2. doi: 10.1016/j.athoracsur.2006.03.080.
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[Osteosynthesis with plates for full sternal dehiscence (Titanium Sternal Fixation System Synthes) -- first use in Hungary].[使用钢板进行全胸骨裂开的骨合成术(Synthes钛胸骨固定系统)——匈牙利首次应用]
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Definitive closure of the infected median sternotomy wound: a treatment algorithm utilizing vacuum-assisted closure followed by rigid plate fixation.感染性正中胸骨切开术伤口的确定性闭合:一种采用负压封闭引流后行钢板内固定的治疗方案。
Ann Plast Surg. 2006 Jun;56(6):680-5. doi: 10.1097/01.sap.0000202825.41069.c3.
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Impact of deep sternal wound infection management with vacuum-assisted closure therapy followed by sternal osteosynthesis: a 15-year review of 23,499 sternotomies.采用真空辅助闭合治疗联合胸骨内固定术治疗深部胸骨伤口感染的效果:23499 例胸骨切开术 15 年回顾。
Eur J Cardiothorac Surg. 2010 Apr;37(4):880-7. doi: 10.1016/j.ejcts.2009.09.023. Epub 2009 Oct 31.

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Sternal reconstruction using locking compression plates (LCP): our experience in Egypt, a case series.胸骨重建采用锁定加压钢板(LCP):我们在埃及的经验,一个病例系列。
J Cardiothorac Surg. 2020 Aug 21;15(1):224. doi: 10.1186/s13019-020-01266-0.