皮下脂肪部分剔除预防心脏术后胸骨正中切口愈合不良的疗效  

Effect of partial subcutaneous fat removal on prevention of poor healing of median sternotomy after cardiac surgery

作　　者：李建强 谷腾飞 高攀 孙永辉 李广辉 苏阳 徐亮 张杰 赵子牛 LI Jian-qiang;GU Teng-fei;GAO Pan;SUN Yong-hui;LI Guang-hui;SU Yang;XU Liang;ZHANG Jie;ZHAO Zi-niu(Department of Cardiovascular Surgery,Fuwai Central China Cardiovascular Hospital,Heart Center of Henan Provincial People’s Hospital,Zhengzhou 450008,China)

机构地区：[1]阜外华中心血管病医院河南省人民医院心脏中心心血管外科,河南省郑州市450008

出　　处：《中国心血管病研究》2022年第1期69-72,共4页Chinese Journal of Cardiovascular Research

摘　　要：目的探讨皮下脂肪部分剔除预防心脏术后胸骨正中切口愈合不良的疗效。方法选取2019年3月至2020年5月在我科行胸骨正中切口的心脏手术患者539例,按切口缝合方式分为两组:皮下脂肪部分剔除组(对照组)和常规组,比较其发生切口愈合不良的比率和术后总住院时间。结果皮下脂肪部分剔除组心脏术后胸骨正中切口愈合不良率显著少于常规组(0比6.97%,P<0.05),术后总住院时间显著短于常规组[(11.7±4.9)d比(13.54±7.3)d,P<0.05]。结论皮下脂肪部分剔除可显著降低心脏术后胸骨正中切口愈合不良的发生率并缩短术后总住院时间,可广泛应用于临床。Objective To investigate the effect of partial subcutaneous fat removal on preventing the poor healing of median sternotomy after cardiac surgery.Methods From March 2019 to May 2020,539 patients undergoing cardiac surgery through median sternotomy in our department were analyzed and divided into two groups:partial subcutaneous fat removal group(experiment group) and conventional group.The rate of poor wound healing and the total length of hospital stay was compared.Results The poor wound healing rate in the experimental group was significantly lower than that in the conventional group(0% vs.6.97%,P<0.05);and the total postoperative hospital stay was significantly shorter than that in the conventional group [(11.7 ± 4.9)d vs.(13.54 ± 7.3)d,P<0.05].Conclusion Partial subcutaneous fat removal can significantly reduce the incidence of poor wound healing after cardiac surgery and shorten the total postoperative hospital stay,which should be widely used in clinical practice.

关 键 词：心脏外科 胸骨正中 切口愈合不良 皮下脂肪剔除 

分 类 号：R654.2[医药卫生—外科学]