摘要
目的 比较新型胸骨板与钢丝应用于胸骨合拢后在安全性、愈合等方面的差异,探讨胸骨板的安全性和有效性.方法 选择在国内两家医疗中心行胸骨正中切开术的患者60例,数字表法随机分为对照组和试验组,每组30例.使用钢丝（对照组）和新型胸骨板（试验组）合拢胸骨,于术后1周、3个月、6个月随访观察患者切口疼痛、胸骨愈合和胸骨板或钢丝固定情况.结果 患者术后无死亡.术中共使用胸骨板117块,两组患者间基本资料差异无统计学意义（P〉0.05）.术后1周、3个月、6个月时胸骨疼痛、胸骨临床愈合和不良事件发生比例差异均无统计学意义（P〉0.05）.术后1周,患者均未达到胸骨临床愈合;对照组1例胸骨松动伴伤口溢液,保守治疗（双头胸带固定）1周失败,改行小切口胸骨板合拢上段松动胸骨.术后6个月所有患者均达胸骨临床愈合标准.结论 与钢丝固定相比,胸骨板合拢胸骨有同样的安全性和有效性.
Objective To evaluate the security and effectiveness of emerging sternal rigid plate by comparing with wires closure. Methods 60 patients who undergoing median sternotomy from two centers were enrolled in this study, 30 received wire cerclage（ control group） and the other 30 received rigid plate fixation（ experimental group） . Patients＇ sternal were closed with wires or rigid plates, and the painness, sternal union and status of wires or rigid plates were followed up and assessed one week, three months and six months after procedures. Results All patients survived and were followed up. 117 rigid plates were implanted. There was no significant difference in pre-operative data, post-operative painness, sternal union and status of wires and plates between control and experimental group. No patient reached the standard of clinical sternal union one week post-operation, but all patients reached the standard of clinical sternal six months post-operation. One patient in control group suffered sternal nonunion, movement and wound infection after sternotomy. Conclusion Compared to wire closure, sternal closure with rigid plates is the same safe and effective.
出处
《中华胸心血管外科杂志》
CSCD
2017年第12期743-746,共4页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
胸骨板
钢丝
胸骨愈合
Sternal rigid plate
Wire
Sternal union
