胸大肌带蒂肌瓣转移治疗心脏外科手术后胸骨感染37例

王宇; 李红; 文仁国; 马瑞彦; 肖颖彬

doi:10.11659/jjssx.03E023055

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胸大肌带蒂肌瓣转移治疗心脏外科手术后胸骨感染37例

血管专栏 | 更新时间：2023-11-24

- 胸大肌带蒂肌瓣转移治疗心脏外科手术后胸骨感染37例
- Transplantation of pectoralis major pedicled flap in the treatment of 37 cases of sternal wound infection after cardiac surgery
- 局解手术学杂志 2023年32卷第11期页码：945-947
- 作者机构：
  
  陆军军医大学第二附属医院心血管外科，重庆 400037
- 作者简介：
  
  文仁国，E-mail：729424712@qq.com
- 基金信息：
- DOI：10.11659/jjssx.03E023055
  中图分类号： R655.1
- 纸质出版日期：2023-11-25，
  
  收稿日期：2023-03-09，
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王宇,李红,文仁国等.胸大肌带蒂肌瓣转移治疗心脏外科手术后胸骨感染37例[J].局解手术学杂志,2023,32(11):945-947.

WANG Yu,LI Hong,WEN Ren-guo,et al.Transplantation of pectoralis major pedicled flap in the treatment of 37 cases of sternal wound infection after cardiac surgery[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(11):945-947.
王宇,李红,文仁国等.胸大肌带蒂肌瓣转移治疗心脏外科手术后胸骨感染37例[J].局解手术学杂志,2023,32(11):945-947. DOI： 10.11659/jjssx.03E023055.

WANG Yu,LI Hong,WEN Ren-guo,et al.Transplantation of pectoralis major pedicled flap in the treatment of 37 cases of sternal wound infection after cardiac surgery[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(11):945-947. DOI： 10.11659/jjssx.03E023055.

摘要

目的

探讨胸大肌带蒂肌瓣转移治疗经胸骨正中切口心脏外科手术后胸骨感染的临床效果。

方法

纳入我院37例行胸骨正中切口心脏外科手术后胸骨感染的患者，术中通过扩大创口，彻底清除感染的胸骨灶，充分游离胸大肌肌瓣，翻转填塞胸骨缺损处。观察患者术后切口愈合效果。

结果

术后未出现其他并发症及死亡病例；30例患者切口愈合良好，7例患者切口愈合欠佳，经积极换药及对症处理后，切口愈合良好。随访1~6个月，患者未出现感染复发、红肿渗出、肌瓣坏死结痂。

结论

采用胸大肌带蒂肌瓣转移治疗经胸骨正中切口心脏外科手术后胸骨感染能促进伤口愈合，减少再次感染及其他并发症的发生，临床效果满意。

Abstract

Objective

To investigate the clinical outcome of pectoralis major pedicled flap transplantation in the treatment of sternal infection after cardiac surgery through median sternotomy.

Methods

A total of 37 patients with sternal infection after cardiac surgery through median sternotomy were enrolled in our hospital. During operation， the infected sternal lesion was completely removed by expanding the wound， the pectoralis major pedicled flap was fully freed and turned over to fill the sternal defect. The wound healing effect was observed.

Results

There was no other complications or death cases after operation. The wound healing was good in 30 patients and poor in 7 patients， whose wound healing was good after aggressive dressing change and symptomatic treatment. After 1 to 6 months of follow-up， there was no recurrence of infection， redness， swelling or exudation， or muscle valve necrosis or crusting.

Conclusion

The pectoralis major pedicled flap transplantation in the treatment of sternal infection after cardiac surgery through median sternotomy can promote wound healing， reduce the occurrence of re-infection and other complications， with satisfactory clinical outcome.

关键词

心脏外科手术经胸骨正中切口胸骨感染胸大肌带蒂肌瓣皮瓣转移

Keywords

cardiac surgerymedian sternotomysternal infectionpectoralis major pedicled flapflap transfer

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