深部胸骨切口感染诊断方法的相关研究进展  

Research progress on diagnostic methods of deep sternal wound infection

作　　者：游攀 樊东力 张一鸣 You Pan;Fan Dongli;Zhang Yiming(Department of Plastic and Cosmetic Surgery,Second Affiliated Hospital of Army Medical University,Chongqing 400037,China)

机构地区：[1]陆军军医大学第二附属医院整形外科,重庆400037

出　　处：《中华整形外科杂志》2021年第12期1420-1424,共5页Chinese Journal of Plastic Surgery

摘　　要：深部胸骨切口感染(DSWI)病情复杂,感染层次多。术前对其感染的程度及范围精确识别定位难度较大,以至于术中难以彻底地根治性清创,这将导致术后病情复发并进一步恶化。及时高效的诊断方式可以在早期诊断DSWI,并准确定位感染病灶以便及时处理。该文总结了国内、外现有针对DSWI的诊断方法,如微生物学检查、影像学检查以及临床症状和体征等,并对比总结,以提高DSWI的诊疗效率。Deep sternal wound infection(DSWI)is complicated and infection might affect multiple layers.It is difficult to identify and locate the degree and range of infection accurately before the operation.Thus,complete debridement tends to be challenging because of potential above-mentioned issues.Then it would lead to recurrence and further deterioration of the disease postoperatively.Timely and efficient diagnostic methods could promote early diagnosis of DSWI,and locate the focus of infection accurately so as to deal with it in time.This paper compares and summarizes the existing diagnostic methods for DSWI at home and abroad,such as microbiological examination,imaging examination,clinical symptoms and signs,in order to improve the efficiency of diagnosis and treatment of DSWI.

关 键 词：外科伤口感染 胸骨切开术 放射摄影术 微生物学技术 诊断 综述 

分 类 号：R655[医药卫生—外科学]