胸骨结扎带在胸腺肿瘤胸骨劈开手术中的临床应用  

Clinical application of sternal ligation band in sternotomy of thymic tumor

作　　者：薛世岳 王帅 高健 丁建勇 蒋家好 XUE Shi-yue;WANG Shuai;GAO Jian;DING Jian-yong;JIANG Jia-hao(Department of Cardiothoracic Surgery,the First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450000,Henan,China;Department of Thoracic Surgery,Zhongshan Hospital,Fudan University,Shanghai 200032,China)

机构地区：[1]河南中医药大学第一附属医院心胸外科,郑州450000 [2]复旦大学附属中山医院胸外科,上海200032

出　　处：《中国临床医学》2021年第4期610-613,共4页Chinese Journal of Clinical Medicine

基　　金：复旦大学附属中山医院优秀青年计划(2019ZSYQ09).

摘　　要：目的:探讨关胸时使用胸骨结扎带在胸腺肿瘤胸骨劈开手术中的安全性和应用价值。方法:选取2020年6月至2020年12月在复旦大学附属中山医院胸外科行胸骨劈开手术的胸腺肿瘤患者34例,根据关胸时固定胸骨的材料,分为胸骨结扎带组(n=13)和钢丝组(n=21)。比较2组的固定胸骨时间、胸骨固定过程中出血量、术后疼痛视觉模拟评分、切口并发症等临床指标。结果:胸骨结扎带组的胸骨固定时间和胸骨固定过程中出血量明显少于钢丝组[(7.6±2.3)min vs(17.2±1.9)min,(44.0±34.0)mL vs(110.0±36.0)mL],胸骨结扎带组的术后疼痛视觉模拟评分明显低于钢丝组[(2.1±1.0)分vs(4.9±1.0)分],差异均有统计学意义(P<0.05)。结论:胸骨结扎带在胸腺肿瘤胸骨劈开术中对胸骨的固定可靠、安全、操作简单,并可显著缩短关胸时间,减少胸骨固定过程中出血,减轻术后疼痛。Objective:To explore the safety and value of sternal ligation band in the operation of sternal cleavage for thymic tumor.Methods:From June 2020 to December 2020,34 patients with thymic tumor who underwent sternotomy in the Department of Thoracic Surgery,Zhongshan Hospital,Fudan University were selected as the research subjects.According to the sternal fixation materials,they were divided into sternal ligation group(observation group,n=13)and steel wire group(control group,n=21).The duration of sternum fixation,amount of blood loss during sternum fixation,visual analogue score of postoperative pain,incision complications,and other clinical indexes were observed and compared between the two groups.Results:The sternal fixation time in the observation group was shorter than that in the control group,the amount of bleeding during sternum fixation in the observation group was less than that in the control group([7.6±2.3]min vs[17.2±1.9]min,[44.0±34.0]mL vs[110.0±36.0]mL),the visual analogue score of postoperative pain in the observation group was lower than that in the control group(2.1±1.0 vs 4.9±1.0),and the differences were statistically significant(P<0.05).Conclusions:Sternal ligation band is reliable,simple,and safe in sternal cleavage for thymic tumors,which can significantly shorten the time of closing the chest,reduce bleeding during sternum fixation and relieve postoperative pain.

关 键 词：胸腺肿瘤 胸骨劈开 胸骨固定 胸骨结扎带 

分 类 号：R736.3[医药卫生—肿瘤]