Talucci R C, Webb W R
Ann Thorac Surg. 1983 Mar;35(3):318-21. doi: 10.1016/s0003-4975(10)61566-4.
Infections of the costal cartilages lead to serious sequelae. This report deals with the diagnosis of such infections, proposed treatment, and an illustrative case history from our experience. Previous therapeutic regimens advocated excision of the entire costal cartilage if any portion was infected. In cases where the infection is confined to cartilages not involving the costal arch, this is an effective therapy. However, in infections of the costal arch, complete removal leads to gross deformity, loss of skeletal protection of the heart and liver, and chest wall instability with serious respiratory failure. Segmental cartilaginous resection followed by a period of healing and subsequent debridement of only the infected and necrotic cartilage is the preferred method for treatment of infection involving the costal arch.
肋软骨感染会导致严重的后遗症。本报告涉及此类感染的诊断、建议的治疗方法以及我们经验中的一个典型病例。以往的治疗方案主张，若肋软骨的任何部分受到感染，需切除整个肋软骨。对于感染局限于不涉及肋弓的软骨的病例，这是一种有效的治疗方法。然而，在肋弓感染的情况下，完全切除会导致严重畸形、心脏和肝脏失去骨骼保护以及胸壁不稳定并伴有严重呼吸衰竭。对于涉及肋弓的感染，首选的治疗方法是节段性软骨切除，随后经过一段时间的愈合，再仅对感染和坏死的软骨进行清创。
