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心脏起搏器置入术后起搏器外露及胸壁皮肤溃疡的修复 被引量:2

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摘要 目的探讨心脏起搏器置入术后起搏器外露及胸壁皮肤溃疡的修复方法。方法2010年1月-2014年2月,笔者单位收治20例心脏起搏器置入术后起搏器外露及胸壁皮肤溃疡患者,其中单纯起搏器导丝外露9例,起搏器导丝和电池和/或除颤器外露11例。单纯导丝外露溃疡创面清创后将导丝移位至未受溃疡累及的区域深埋固定;起搏器导丝和电池和/或除颤器外露溃疡创面清创后将起搏器导丝移位至未受溃疡累及的区域深埋固定,并经皮下隧道引至乳腺后间隙,起搏器电池或除颤器置入胸大肌下或乳腺后间隙。溃疡创面直接缝合或采用局部皮瓣转移修复。结果16例患者经1次手术修复后溃疡创面愈合;2例患者经2次手术修复后创面愈合;2例患者虽经2次手术修复,溃疡创面仍未愈合,后取出起搏器并于健康组织下放置新起搏器,原创面行局部清创缝合,溃疡愈合。患者随访6个月~4年,未见溃疡复发。结论根据起搏器外露程度及皮肤溃疡情况,可采用清创后将起搏器移位至健康组织深埋,溃疡创面直接缝合或采用局部皮瓣转移修复,疗效较好。
出处 《中华烧伤杂志》 CAS CSCD 北大核心 2015年第6期424-426,共3页 Chinese Journal of Burns
基金 国家自然科学基金(81372065) 广州市科技计划(201300000091) 广州市科技计划(201508020253)
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参考文献10

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二级参考文献36

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