Ihaya A, Muraoka R, Kimura T, Kato Y, Niwa H, Nara M, Chiba Y
2nd Department of Surgery, Fukui Medical School, Japan.
Kyobu Geka. 1995 Nov;48(12):1065-7.
A 76-year-old man, who was complicated with chronic sternal osteomyelitis after thoracic aortic aneurysmectomy was reported. He was treated with local wound care and antibiotics for about 3 months, but cutaneous fistula with persistent discharge required sternal bone debridement and omental pedicle grafting. After this treatment the patient was uneventful. 67Ga scintigram and 67Ga-SPECT may be more useful in the diagnosis of this serious complication.
报告了一名76岁男性,他在胸主动脉瘤切除术后并发慢性胸骨骨髓炎。他接受了局部伤口护理和抗生素治疗约3个月,但持续有分泌物的皮肤瘘需要进行胸骨清创术和带蒂大网膜移植。经过这种治疗后,患者情况平稳。67镓闪烁扫描和67镓单光子发射计算机断层扫描在诊断这种严重并发症方面可能更有用。