钛板固定在心脏术后胸骨正中切口感染治疗中的应用

摘要

目的 探讨应用钛板内固定,增强胸骨稳定性,提高心脏手术后胸骨正中切口感染的临床治疗效果.方法 采用回顾性调查的方法,对26例应用钛板内固定,治疗胸骨切口感染的病例进行分析.结果 2009年1月至2011年12月应用钛板内固定治疗26例,均为慢性感染患者,感染持续时间均超过3个月.3例深部感染患者采用伤口持续负压吸引(VAC)的方法辅助创面准备.26例患者均行胸大肌肌瓣转移,无一例发生钛板感染需再次手术取出,且无一例因胸骨再次感染而需二次手术.结论 应用钛板内固定可以加强胸骨稳定性,减少局部组织渗出,提高心脏手术后胸骨正中切口感染的临床治疗效果.%Objective To investigate the internal fixation of sternum with titanium plate for the treatment of sternal wound infection after cardiac surgery.Methods A retrospective study of 26 patients from Jan 2009 to Dec 2011 was carried out.All the 26 cases with sternal wounds infection after cardiac surgery,were treated by internal fixation with titanium plates.Results All the patients had choronic infection,lasting for more than 3 months.3 patients received vacuum-assisted closure treatment after complete debridment.All the wounds were covered with pectoral major muscle flap.All the wounds healed completely with no recurrence of infection..Conclusions Internal fixation of sternum with titanium plate can increase the stability.It helps to improve the treatment efficacy of sternal wound infection after cardiac surgery.