胸大肌翻转皮瓣重建术治疗婴幼儿深部胸骨伤口感染。
Pectoralis major muscle turnover flap reconstruction for treatment of deep sternal wound infection in infants and children.
机构信息
The Second School of Clinical Medicine, Southern Medical University, Guangzhou, China.
Department of Pediatric Cardiac Surgery, The Seventh Medical Center of the PLA General Hospital, Beijing, China.
出版信息
J Card Surg. 2022 Aug;37(8):2309-2314. doi: 10.1111/jocs.16567. Epub 2022 May 4.
OBJECTIVE
The aim of the study is to assess the therapeutic effect and applicability of pectoralis major muscle turnover flap (PMMTF) reconstruction for treatment of deep sternal wound infection (DSWI) after cardiac surgery in infants and children.
METHODS
From March 2013 to October 2021, 23 patients with DSWI after cardiac surgery underwent PMMTF reconstruction. The data and outcomes of the patients were retrospectively analyzed.
RESULTS
Twenty patients were treated with unilateral PMMTF reconstruction, and three patients were treated by bilateral PMMTF. All of the sternal wounds healed successfully. All patients survived and were discharged without evidence of infection. In a follow-up period, ranging from 15 to 83 months (mean 32.6 months), all patients demonstrated normal development with no limitations to limb movements. There were no signs of chronic sternal infection in all of them.
CONCLUSION
PMMTF reconstruction is a simple, feasible, and effective treatment of DSWI after cardiac surgery in infants and children, with minimal developmental problems.
目的
评估胸大肌翻转皮瓣（PMMTF）重建治疗婴幼儿心脏手术后深部胸骨伤口感染（DSWI）的疗效和适用性。
方法
2013 年 3 月至 2021 年 10 月，23 例心脏手术后 DSWI 患者行 PMMTF 重建。回顾性分析患者的资料和结果。
结果
20 例患者行单侧 PMMTF 重建，3 例患者行双侧 PMMTF 重建。所有胸骨伤口均愈合良好。所有患者均存活并出院，无感染证据。随访 15 至 83 个月（平均 32.6 个月），所有患者均正常发育，四肢活动无受限。所有患者均无慢性胸骨感染迹象。
结论
PMMTF 重建是治疗婴幼儿心脏手术后 DSWI 的一种简单、可行且有效的方法，对发育影响小。
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