[1]游攀,王韶亮,毛彤春,等.整形外科修复重建技术在胸骨切口感染治疗中的应用[J].第三军医大学学报,2019,41(20):1989-1994.
 YOU Pan,WANG Shaoliang,MAO Tongchun,et al.Application of plastic repair and reconstruction techniques for treatment of sternal wound infections[J].J Third Mil Med Univ,2019,41(20):1989-1994.
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
41卷
期数:
2019年第20期
页码:
1989-1994
栏目:
临床医学
出版日期:
2019-10-30

文章信息/Info

Title:
Application of plastic repair and reconstruction techniques for treatment of sternal wound infections
作者:
游攀王韶亮毛彤春李翔燕荣帅周璇陈涛樊东力张一鸣
陆军军医大学第二附属医院整形外科
Author(s):
YOU Pan WANG Shaoliang MAO Tongchun LI Xiang YAN Rongshuai ZHOU Xuan CHEN Tao FAN Dongli ZHANG Yiming

Department of Plastic and Cosmetic Surgery, Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400037, China
 

关键词:
胸廓切开术胸骨外科伤口感染修复外科手术
Keywords:
thoracotomy sternum surgical wound infection reconstructive surgical procedures
分类号:
R622.1;R622.2;R628
文献标志码:
A
摘要:

目的 探讨整形外科修复重建技术在胸骨切口感染临床治疗中的有效性,以提高胸骨切口感染的治疗效率。方法 回顾性分析我科2017年3月到2019年3月收治的经胸骨正中切口术后感染患者35例,采用清创术、负压封闭引流术、皮片移植术、肌瓣转移术等整形外科修复重建技术治疗,并根据其治愈率、住院时间及随访情况等评价临床疗效。结果27例浅表胸骨切口感染患者中25例治愈,2例未治愈出院,8例深部胸骨切口感染患者全部治愈,患者随访2月~2年未见复发,35例患者总体治愈率达94.3%。结论 整形外科修复重建技术对经胸骨正中切口术后形成胸骨切口感染的治疗切实有效。

Abstract:

Objective To explore the effectiveness of plastic repair and reconstruction techniques for treatment of sternal wound infections.  MethodsWe performed a retrospective analysis of 35 cases of postoperative sternal wound infections treated in our department between March, 2017 and March, 2019. The patients, including 27 with superficial and 8 with deep sternal wound infections, underwent plastic surgeries with debridement, vacuum sealing drainage, skin grafting, muscle flap transfer and other orthopedic repair and reconstruction techniques, and the therapeutic effects were evaluated based on the cure rate, hospital stay and follow-up results of the patients. ResultsAmong the 27 patients with superficial sternal wound infections, 25 were cured, and 2 were discharged without cure of the infections; all the 8 patients with deep sternal wound infections were cured. The patients were followed up for 2 months to 2 years, during which none of the patients experienced recurrence of the infections. The overall cure rate of sternal wound infections was 94.3% in the these patients. ConclusionThe plastic repair and reconstruction techniques are effective for treatment of sternal wound infections.
 

参考文献/References:

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更新日期/Last Update: 2019-10-25