心脏手术后胸骨感染合并结核杆菌感染11例治疗体会

Experiences of treating sternal infection combined with mycobacterium tuberculosis infection after cardiac surgery

目的总结心脏手术后胸骨感染合并结核杆菌感染的治疗体会，介绍胸大肌肌瓣翻转成形术。方法回顾性分析2012年1月至2017年7月治疗11例心脏手术后胸骨感染合并结核杆菌感染患者的临床资料。结果心脏手术后胸骨感染合并结核杆菌感染患者一期愈合8例，延期愈合2例，再次手术后愈合1例。结论胸大肌肌瓣翻转成形术治疗心脏手术后胸骨感染合并结核杆菌感染，可有效治愈伤口，缩短治疗时间，防止伤口感染引起的继发并发症。大部分患者可获得一次性治愈。

Objective To summarize the experience of treating sternal infection combined with mycobacterium tuberculo- sis infection after cardiac surgery, introduce the pectoralis major muscle flap inversion plasty. Methods The clinical data of patients with sternal infection combined with mycobacterium tuberculosis infection after cardiac surgery in our hospital from Jan- uary 2012 to July 2017 were retrospectively analyzed. Results In the patients with sternal infection combined with mycobacte- rium tuberculosis infection after cardiac surgery, 8 cases were primary healing, 2 cases were delayed healing, and 1 case was healing after reoperation. Conclusion The pectoralis major muscle flap inversion plasty for treatment of sternal infection com- bined with mycobaeterium tuberculosis infection after cardiac surgery can effectively cure the wound, shorten the treatment time, and prevent the secondary complications caused by wound infection. Most of the patients can obtain primary healing.