Application of titanium fixation plates for sternum closure after off-pump coronary artery bypass grafting in elderly patients
10.3760/cma.j.issn.0254-9026.2015.04.010
- VernacularTitle:钛板在老年人非体外循环冠状动脉旁路移植术胸骨固定中的应用研究
- Author:
Longhui GUO
;
Jingchao ZHANG
;
Jing XU
;
Wenyi WANG
;
Liwen WU
;
Xiaodong SONG
- Publication Type:Journal Article
- Keywords:
Coronary artery bypass graft,off-pump;
Titanium plate;
Sternum
- From:
Chinese Journal of Geriatrics
2015;34(4):378-381
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the role of titanium plate fixation for sternum closure after off-pump coronary artery bypass grafting (OPCABG) in elderly patients.Methods A total of 120 elderly patients who accepted OPCABG were randomly divided into two groups.The control group (n =60) received wire to fix the sternum,and the experimental group (n=60) received titanium plate combined with wire to fix the sternum.The chest closure time,the rate of postoperative incision pain,the rate of sternal dehiscence and sternal re-fixation between two groups were observed and recorded.Results The rates of postoperative incision pain,sternal dehiscence,sternal re-fixation was lower in experimental group than in control group [11.7％(7/60) vs.38.3％(23/60),3.3％(7/60) vs.13.3％(8/60),1.7％(1/60) vs.11.7％(7/60),x2 =11.378,3.927,4.821 respectively all P＜0.05].The chest closure time was longer in experimental group than in control group [(39±5)min vs.(30±2) min,x2 =13.386,P＜0.05].Conclusions Titanium fixation plate combined with wire for sternum closure can increase the stability of sternum fixation,reduce the postoperative pain and sternal dehiscence,and then decrease the risk of sternal re-fixation,but delay sternal closure of OPCABG in the elderly.
