Martin R D, Rieckenbrauck N
Division of Plastic and Reconstructive Surgery, Toronto Hospital, Ontario, Canada.
Ann Plast Surg. 1993 Apr;30(4):320-2. doi: 10.1097/00000637-199304000-00005.
Sternal osteomyelitis is an uncommon but serious complication of the median sternotomy incision. Between 1982 and 1990, 160 patients with sternal osteomyelitis and wound dehiscence were treated with sternal debridement and pectoral muscle flap closure at The Toronto Hospital. Most of these wound infections were clinically obvious, and the need for surgical treatment apparent. In a small number of patients, however, the extent of the infection was more difficult to determine clinically. In this subset of patients, the interpretation of the bone-gallium scan was important in determining the presence or absence of bone infection and the probability of successful treatment without surgery. In this study, we review our findings at the time of surgery and compare them with the preoperative information available from the bone-gallium scan. The limited literature on this topic is reviewed. In this group of patients, we found the bone-gallium scan was not helpful in clinical management.
胸骨骨髓炎是正中胸骨切开术后一种不常见但严重的并发症。1982年至1990年间，多伦多医院对160例患有胸骨骨髓炎和伤口裂开的患者进行了胸骨清创术和胸肌瓣闭合术治疗。这些伤口感染大多在临床上很明显，手术治疗的必要性也很明显。然而，在少数患者中，感染的程度在临床上更难确定。在这部分患者中，骨镓扫描的结果对于确定是否存在骨感染以及不进行手术而成功治疗的可能性很重要。在本研究中，我们回顾了手术时的发现，并将其与术前骨镓扫描获得的信息进行比较。同时对关于该主题的有限文献进行了综述。在这组患者中，我们发现骨镓扫描对临床管理并无帮助。
