[1]宋爵麟 侯江龙.成人心脏手术胸骨正中入路术后胸骨闭合技术的研究进展[J].心血管病学进展,2022,(6):499.[doi:10.16806/j.cnki.issn.1004-3934.2022.06.006]
 ONG JuelinHOU Jianglong.Sternal Closure Technique?fter Median Sternotomy in Adult Cardiac Surgery[J].Advances in Cardiovascular Diseases,2022,(6):499.[doi:10.16806/j.cnki.issn.1004-3934.2022.06.006]
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成人心脏手术胸骨正中入路术后胸骨闭合技术的研究进展()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2022年6期
页码:
499
栏目:
综述
出版日期:
2022-06-25

文章信息/Info

Title:
Sternal Closure Technique?fter Median Sternotomy in Adult Cardiac Surgery
作者:
宋爵麟 侯江龙
(四川大学华西医院心脏大血管外科,四川 成都 610041)
Author(s):
?ONG JuelinHOU Jianglong
?Department of Cardiovascular Surgery,West China Hospital,Sichuan University,Chengdu 610041,Sichuan,China)
关键词:
心脏手术胸骨闭合正中胸骨切开术术后并发症
Keywords:
Cardiac surgerySternal closureMedian sternotomyPostoperative complications
DOI:
10.16806/j.cnki.issn.1004-3934.2022.06.006
摘要:
胸骨正中入路是大多数心脏直视手术的标准切口。目前临床广泛采用单线钢丝闭合技术闭合胸骨。虽然标准的单线钢丝闭合技术术后并发症少见,但病死率高。为减少术后并发症的发生,改善患者术后胸骨愈合,给患者带来更好的临床预后,临床上一直在开发新的胸骨闭合技术,或对现有闭合技术进行改良。现简述胸骨的解剖、生物力学特点及胸骨切开术后重要并发症,且就国内外近年来发表文献中所应用的胸骨闭合技术及相关内容进行综述。
Abstract:
Median sternotomy is the standard procedure in cardiac surgery. At present,single wire closure technique is widely used in sternal closure. Postoperative complications are infrequent,but when they do occur,resulting in considerable morbidity. To reduce the complications,improve the rate of postoperative sternum union and bring better clinical prognosis to patients,novel sternum closure techniques have been developed clinically or the existing closure techniques have been improved. In this paper,the anatomical and biomechanical characteristics of the sternum,the important complications after sternotomy and the techniques of sternal closure used in recent literature were reviewed.

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更新日期/Last Update: 2022-08-05