改良Robicsek法加双侧胸大肌肌瓣治疗心脏直视术后胸骨裂开  

Modified robicsek combined bilateral pectoralis major muscle flap sternal dehiscence after open heart surgery

作　　者：袁武 陈剑 程力剑 陈杰 李金泽 罗勇 YUAN Wu;CHEN Jian;CHENG Lijian(Department of Cardiothoracic Surgery,the Third people’s Hospital of Chengdu,Affiliated Hospital of South-west Jiaotong University,Sichuan,Chengdu 610031,China)

机构地区：[1]成都市第三人民医院(西南交通大学附属医院)心脏大血管外科,610031

出　　处：《临床外科杂志》2020年第12期1129-1131,共3页Journal of Clinical Surgery

摘　　要：目的观察Robicsek法加双侧胸大肌肌瓣治疗心脏直视术后胸骨裂开的临床疗效。方法 2012年2月~2019年11月收治的心脏术后胸骨裂开病人17例,采用改良Robicsek法重新固定胸骨,双侧胸大肌肌瓣填塞修复缺损。结果术后所有病人均胸骨固定,肌皮瓣均成活良好,无坏死,治愈率100%。无胸骨裂开复发,肌皮瓣有效地修复了手术清创后的胸骨及周围组织缺损,封闭了创面,修复区形态满意。结论心脏术后胸骨裂开使用改良Robicsek法加双侧胸大肌肌瓣治疗安全、有效。Objective To observe the treatment of Modified Robicsek and bilateral pectoralis major muscle flap for sternal dehiscence after open heart surgery.Methods February 2012 November 2019 17 cases of patients with sternal dehiscence after cardiac surgery were treated by modified Robicsek to reseat the sternum, bilateral pectoralis major muscle flap repaired the defect.Results All the patients were with fixed sternum, muscle flaps survived well without necrosis was 100%. Sternal dehiscence without recurrence, muscle flap repaired the sternum effectively and surrounded tissue defect after surgical debridement, repaired the wound zone satisfactory.Conclusion The treatment of Modified Robicsek and bilateral pectoralis major muscle flap for sternal dehiscence after open heart surgery is safe and effective.

关 键 词：胸骨 裂开 固定 外科皮瓣 

分 类 号：R654.2[医药卫生—外科学]