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find Keyword "一期重建" 2 results
  • 后路截骨矫形内固定治疗青少年胸椎半椎体合并脊髓纵裂脊柱侧凸畸形

    目的 总结青少年胸椎半椎体合并脊髓纵裂的手术治疗方法。 方法 2003 年1 月- 2007 年12 月,应用一期后路半椎体、骨嵴切除,椎弓根钉棒系统内固定、自体骨植骨融合治疗下胸椎脊柱侧凸合并脊髓纵裂患者15 例。其中男6 例,女9 例;年龄16 ~ 24 岁,平均21.2 岁。均为先天性完全分节半椎体,脊髓纵裂均位于半椎体。病椎位于T11 3 例,T12 12 例。病程9 ~ 61 个月,平均22 个月。术前侧凸Cobb 角48.6 ~ 106.4°,平均52.3°。 结果 术中无脊液漏,无胸膜损伤。切口Ⅰ期愈合14 例;1 例发生感染,经抗炎、切口换药后愈合。15 例均获随访,随访时间9 ~ 45 个月,平均34 个月。术后10 个月Cobb 角0 ~ 14°,平均10.2°,矫正率平均76.3%,术后脊柱畸形明显改善。术后X 线片示患者均获良好骨融合,融合时间3 ~ 5 个月。无内固定失败及假关节形成。 结论 一期后路手术截除半椎体及纵裂骨嵴可达到脊柱矫形目的,同时完成截骨间隙植骨融合以重建脊柱稳定性,是一种治疗完全分节的胸椎半椎体合并脊髓纵裂脊柱侧凸畸形的有效方 法。

    Release date:2016-09-01 09:07 Export PDF Favorites Scan
  • Vascularized Muscle Flap Transposition Combined with Negative Pressure Wound Therapy for the Treatment of Complicated Mediastinitis after Cardiac Surgery in One-stage

    ObjectiveTo summarize surgical experience and explore the best treatment strategy for the management of complicated mediastinitis after cardiac surgery. MethodsClinical data of 18 patients who received vascularized muscle flap transposition combined with negative pressure wound therapy (NPWT)for the treatment of complicated mediastinitis after cardiac surgery in one stage in the Department of Cardiac Surgery of Beijing Anzhen Hospital, Capital Medical University between June 2006 and December 2012 were retrospective analyzed. There were 12 male and 6 female patients with their average age of 65.5±8.2 years. The average interval between cardiac surgery and vascularized muscle flap reconstruction was 12.5±5.8 days. ResultsPostoperatively, 1 patient died of recurrent mediastinitis, sepsis and multiple organ dysfunction syndrome. Seventeen patients had an uneventful postoperative recovery and one-stage wound healing. Postoperative hospital stay was 18.6±7.2 days and wound healing time was 4.5±2.4 weeks. All the 17 patients were followed up for over 6 months, no recurrent mediastinitis was observed, and they had a good quality of life. ConclusionVascularized muscle flap transposition combined with NPWT is a simple and effective surgical strategy for the treatment of complicated mediastinitis after cardiac surgery in one-stage.

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