Scher K S
Department of Surgery, Wright State University School of Medicine, Dayton, Ohio.
Am Surg. 1989 Mar;55(3):158-61.
Fifty-two patients who required reexploration through the groin incision within seven days of an arterial procedure were studied to assess the value of sartorius transposition. Twenty-four group I patients had the sartorius muscle used to cover the vascular graft at reoperation while 28 group II patients had a standard closure. The groups were similar with respect to age, initial arterial operation, incidence of diabetes, and use of antibiotics and postoperative anticoagulation. Wound complications were frequent in both groups (62.5% vs. 57.1%, respectively) but outcome of these wound problems was quite different. Graft infection and anastomotic disruption were significantly less frequent in group I patients. Because fewer infected prostheses had to be removed group I patients were less likely to require high level amputations. Sartorius transposition is an effective method of protecting vascular grafts jeopardized by the high frequency of wound problems associated with early reoperation.
对52例在动脉手术后7天内需通过腹股沟切口再次手术的患者进行了研究，以评估缝匠肌转位的价值。24例I组患者在再次手术时使用缝匠肌覆盖血管移植物，而28例II组患者采用标准缝合。两组在年龄、初始动脉手术、糖尿病发病率、抗生素使用及术后抗凝方面相似。两组伤口并发症均很常见（分别为62.5%和57.1%），但这些伤口问题的结局差异很大。I组患者移植物感染和吻合口破裂的发生率明显较低。由于需要移除的感染假体较少，I组患者进行高位截肢的可能性较小。缝匠肌转位是一种有效的方法，可保护因早期再次手术相关的高频率伤口问题而受到威胁的血管移植物。
