胸骨固定系统在成人心脏外科术中的应用

Application of Sternal Fixation System in Adult Cardiac Surgery

近年来,微创技术虽然发展迅猛,经典的手术入路胸骨正中切口因能提供最佳术野因此仍是目前的主流方式。用钢丝行胸骨固定是在正中切口心脏手术中较为传统的一种方式,虽有成本低、易得、可塑性强、操作简单等优点,但部分患者术后伴有并发症。胸骨结扎带是近几年兴起的较为可靠的一种方法,具有高稳定性、高生物相容性和关闭胸骨时手套穿刺风险低等优点,且与胸骨的接触面积较大,也进一步降低了胸骨切割的风险,可以降低术后并发症的发生率。因此,本文对钢丝行胸骨固定与胸骨结扎带行胸骨固定的优缺点作一比较,重点阐述胸骨结扎带行胸骨固定的优点及适用人群,为胸骨结扎带在正中切口心脏手术中的应用提供理论基础与思路方向。

In recent years, despite the rapid development of minimally invasive techniques, the classic surgi-cal approach midsternal incision is still the mainstream method, because it can provide the best operating field. Wire sternal fixation is a traditional method in central incision cardiac surgery. Although it has the advantages of low cost, easy access, strong plasticity and simple operation, some patients are associated with postoperative complications. Sternal ligation band is a relatively relia-ble method emerging in recent years, which has the advantages of high stability, high biocompati-bility and low risk of glove puncture when closing the sternum. In addition, the large contact area with the sternum further reduces the risk of sternal incision and can reduce the incidence of post-operative complications. Therefore, this paper compared the advantages and disadvantages of sternal fixation with sternal ligature band and sternal fixation with sternal ligature band, focusing on the advantages of sternal ligature band and the applicable population, so as to provide theoreti-cal basis and thinking direction for the application of sternal ligature band in central incision car-diac surgery.