Escovitz E S, Okulski T A, Lapayowker M S
Radiology. 1976 Dec;121(3 Pt. 1):521-4. doi: 10.1148/121.3.521.
Sternal dehiscence is a recognized complication of median sternotomy in 2.5-4.8% of patients. The authors describe the prognostic significance of a lucent midsternal stripe which was seen in 12 patients over a two-year period. Sternal dehiscence requiring surgical revision developed in 4, and radiological suspicion preceded clinical evidence of dehiscence in 3 of them. A review of 100 consecutive median sternotomies revealed that sternal dehiscence did not develop in any patient who did not have a midsternal stripe. It is suggested that this may be a useful tool in identifying those patients who are at high risk of the development of sternal dehiscence.
胸骨裂开是正中开胸手术公认的并发症，发生率为2.5% - 4.8%。作者描述了在两年期间12例患者中出现的透亮胸骨中线条纹的预后意义。4例患者发生了需要手术修复的胸骨裂开，其中3例在裂开的临床证据出现之前就有放射学怀疑。对100例连续的正中开胸手术进行回顾发现，没有胸骨中线条纹的患者均未发生胸骨裂开。提示这可能是识别胸骨裂开高危患者的有用工具。
