摘要
目的:探讨正中切口心脏直视手术后并发胸骨骨髓炎的治疗.方法:正中切口心脏直视手术后并发胸骨骨髓炎5例患者,经反复清创并长期换药治疗不能愈合,行感染胸骨及部分肋软骨切除,范围可达胸骨角水平,后用腹直肌带蒂肌皮瓣转移修复创面.结果:术后肌皮瓣成活良好,无坏死,I期愈合4例,再次植皮后愈合1例.结论:心脏术后胸骨骨髓炎经彻底清除感染胸骨髓和用带血管蒂的腹直肌皮瓣转移修复创面是较好的治疗方法.
AIM： To explore the treatment of complicated sternum osteomyelitis after mid-sternal thoracotomy. METHODS： Five patients with complicated sternum osteo- myelitis following mid-sternal thoracotomy had resection of sternum and part of costal cartilage. The surface of the wound was repaired by pedicled rectus abdominis musculocutaneous flap. RESULTS： All the flaps lived quite well without necrosis, Four patients got primary healing and one was cured after a second dermatoplasty. CONCLUSION： Complete resection of infected sternum plus transposition of pedicled rectus abdominis musculocutaneous flap is effective for the treatment of sternum osteomyelitis secondary to open heart surgery, which will not affect the respiratory function even if the resection margin goes to the sternal angle.
出处
《第四军医大学学报》
北大核心
2005年第16期1496-1498,共3页
Journal of the Fourth Military Medical University
关键词
手术后并发症
胸骨
骨髓炎
腹直肌带蒂肌皮瓣
心脏外科手术
postoperative complications
sternum
osteomyelftis
pedicled rectus abdominis musculocutaneous flap
caroliac surgical proceolures
