Treatment of sternal infection after cardiac surgery with pectoralis major muscle flap plasty in 247 cases
10.3760/cma.j.issn.1001-4497.2018.06.008
- VernacularTitle:胸大肌肌瓣翻转成形术治疗心脏外科手术后胸骨感染247例
- Author:
Zhentian CUI
1
;
Yongshun GAO
;
Long LU
Author Information
1. 解放军陆军总医院心血管外科
- Keywords:
Sternum infection;
Flip flap of pectoralis major muscle;
Cardiac surgical prodedures;
Surgical debridement
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2018;34(6):359-361
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the experience on the treatment of sternal infection after cardiac surgery,introduce the pectoralis major myocutaneous flap plasty.Methods The clinical data of 247 patients with sternal infection after cardiac surgery in our hospital from January 2014 to July 2017 were retrospectively analyzed.Including 176 males and 71 females,aged from 3 months to 92 years old(162 cases over 60 years old).Results 4 cases died postoperation.226 cases with stage Ⅰ healing,17 cases with stage Ⅱ healing(4 cases of tuberculosis infection cured by anti-tuberculosis treatment).201 cases were followed up,7 cases wound infection relapsed(6 cases with replacement of aortic dissection with artificial blood vessel,and 1 with congenital heart disease).The others had no recurrence.Conclusion The pectoralis major muscle flap inversion plasty for treatment of the median sternal and mediastinal chest incision infection after cardiac surgery can effectively cure the wound,shorten the treatment time,and prevent the secondary complications caused by wound infection.Most patients can obtain primary healing.
