胸骨切口深部感染胸壁重建研究进展

Research progress of chest wall reconstruction in deep infection of sternal incision

胸骨切口深部感染(DSWIs)是胸骨切开术后的严重并发症,对患者的术后康复及生命安全造成了极大影响。目前对于DSWIs的治疗主要包括控制感染、彻底清创和胸壁重建。胸壁重建包括骨性结构重建与软组织重建,其中软组织重建可供选择的各类组织瓣各有优缺点及适应证。因此,对于胸壁重建应根据患者具体情况制定个体化的治疗方案。该文对目前DSWIs胸壁重建方案以及临床研究进展进行了综述,以期为临床治疗及后续研究提供帮助。

Deep sternal wound infections(DSWIs)are serious postoperative complications of sternotomy and have a great impact on the postoperative rehabilitation and life safety of patients.At present,DSWIs is mainly treated by infection control,thorough debridement and reconstruction of chest wall.Reconstruction of chest wall includes reconstruction of bony structures and soft tissues of the chest wall,among which the various muscle flaps available for soft tissue reconstruction have different characteristics and application indications.Therefore,individualized treatment plans for chest wall reconstruction should be made according to the specific situation of patients.In this article,the current chest wall reconstruction protocols and the progress of clinical research for DSWIs were reviewed,with a view to providing assistance in clinical treatment and follow-up studies.