Read Charlotte, Branford Olivier A, Verjee Liaquat S, Wood Simon H
Plastic and Reconstructive Surgery Department, Imperial College Healthcare NHS Trust, Charing Cross Hospital, Fulham Palace Road, London W6 8RF, UK.
Plastic and Reconstructive Surgery Department, Imperial College Healthcare NHS Trust, Charing Cross Hospital, Fulham Palace Road, London W6 8RF, UK.
J Plast Reconstr Aesthet Surg. 2015 Aug;68(8):1132-7. doi: 10.1016/j.bjps.2015.04.027. Epub 2015 May 7.
Late presenting and recurrent sternal wound infections post-sternotomy are difficult to treat, with the clinical picture not necessarily reflecting the underlying problem. As a result of our experience, we suggest that these chronic cases should be managed using a different algorithm to acute sternal wound infection. Positron emission tomography combined with computerized tomography (PET-CT) imaging may be potentially useful in enabling accurate localization of disease sites, which guides adequate debridement prior to definitive reconstruction. It may also allow for disease surveillance and monitoring of the response to antimicrobial treatment. We present three cases which support the need for pre-operative imaging using PET-CT.
胸骨切开术后迟发性及复发性胸骨伤口感染难以治疗，临床表现未必能反映潜在问题。根据我们的经验，我们建议这些慢性病例应采用与急性胸骨伤口感染不同的处理方法。正电子发射断层扫描结合计算机断层扫描（PET-CT）成像可能有助于准确确定病灶位置，从而在进行确定性重建之前指导充分的清创。它还可用于疾病监测以及对抗菌治疗反应的监测。我们展示了三个病例，支持术前使用PET-CT进行成像的必要性。
