应用筋膜皮瓣挽救外露心脏起搏器
Salvage of the Exposed Cardiac Pacemakers With Fasciocutaneous Local Flaps.
作者信息
Aksoy Alper, Dağdelen Dağhan, Şirvan Selami Serhat
机构信息
Department of Plastic Reconstructive and Aesthetic Surgery, Konur Hospital, Bursa, Turkey.
Department of Plastic Reconstructive and Aesthetic Surgery, Balikesir State Hospital, Balikesir,Turkey.
出版信息
Sisli Etfal Hastan Tip Bul. 2020 Mar 24;54(1):98-102. doi: 10.14744/SEMB.2018.16769. eCollection 2020.
OBJECTIVES
This study aims to investigate the efficacy of salvage of the mechanically exposed cardiac pacemakers with fasciocutaneous local flaps in elderly patients.
METHODS
Between January 2014 and January 2018, ten patients (six females, four males; mean age 66.2 years) who were treated due to pacemaker exposition were retrospectively analyzed in this study. Exposed pacemaker and the wires were dissected, and capsulectomy was performed. The expose pacemaker was covered with the fascioutaneous flap.
RESULTS
Only one patient had hematoma formation at early stage and revision was performed. All patients were treated successfully. No complication was observed during the follow-up period.
CONCLUSION
Reconstruction with fasciocutaneous local flaps is an effective treatment modality in case of mechanically cardiac pacemaker expositions in elderly patients.
目的
本研究旨在探讨采用局部筋膜皮瓣挽救老年患者机械性外露心脏起搏器的疗效。
方法
回顾性分析2014年1月至2018年1月期间因起搏器外露而接受治疗的10例患者（6例女性，4例男性；平均年龄66.2岁）。对外露的起搏器及导线进行解剖，并进行囊切除术。用筋膜皮瓣覆盖外露的起搏器。
结果
仅1例患者早期出现血肿形成并进行了修复。所有患者均治疗成功。随访期间未观察到并发症。
结论
对于老年患者机械性心脏起搏器外露的情况，采用局部筋膜皮瓣重建是一种有效的治疗方式。
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