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首页> 外文期刊>Journal of cardiac surgery. >The reinforced sternal closure system is reliable to use in elderly patients.
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The reinforced sternal closure system is reliable to use in elderly patients.

机译：加强的胸骨闭合系统可可靠用于老年患者。

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BACKGROUND: Sternal dehiscence is a rare, but serious complication after cardiac surgery procedures when performed through mid-line sternotomy. Osteoporosis, especially at advanced age, may be a significant factor in the unfavorable results of sternum fixation. The present prospective, randomized study was carried out to evaluate whether the reinforced sternal-closure system is an effective and safe fixation and approximation of the sternum in cardiac procedures, and to compare with the conventional sternal-closure method in elderly patients. METHODS: Forty elderly patients underwent various cardiac procedures via mid-line sternotomy under cardiopulmonary bypass. Patients were randomized into two groups: group I (n = 20) closed with the reinforced sternal-closure system, and group II (n = 20) with standard stainless steel wires. The mean age of patients in group I was 70.5 years, and group II with 70.4 years. RESULTS: Superficial wound infection appeared in only one case of stapler group and in two cases of control group. Deep wound infections or dehiscence was not detected in the patients of both groups. There were no significant differences in the patient's age, drainage, pain index, time of removal of the drains, and postoperative hospital stay between the groups (p > 0.05). CONCLUSIONS: The reinforced sternal-closure system provided no additional risk with similar postoperative pain index and postoperative hospital stay compared with conventional method. It is reliable to use in elderly patients undergoing open heart surgery, in the cases presenting a risk factor such as osteoporosis for increased incidence of sternal dehiscence.
机译：背景：胸骨开裂术是通过中线胸骨切开术进行的心脏手术后罕见但严重的并发症。骨质疏松症，尤其是高龄者，可能是导致胸骨固定不良的重要因素。本项前瞻性随机研究旨在评估增强的胸骨闭合系统在心脏手术中是否能有效，安全地固定和逼近胸骨，并与老年患者的传统胸骨闭合方法进行比较。方法：40例老年患者在体外循环下通过中线胸骨切开术接受了各种心脏手术。将患者随机分为两组：第一组（n = 20）用加强胸骨闭合系统闭合，第二组（n = 20）使用标准不锈钢线。 I组患者的平均年龄为70.5岁，II组患者的平均年龄为70.4岁。结果：仅1例吻合器组和2例对照组出现浅表伤口感染。两组患者均未发现深部伤口感染或裂开。两组之间的患者年龄，引流，疼痛指数，引流管切除时间和术后住院时间均无显着差异（p> 0.05）。结论：与传统方法相比，加固的胸骨闭合系统在术后疼痛指数和术后住院时间相似的情况下，没有提供额外的风险。在患有开放性心脏手术的老年患者中，如果存在诸如骨质疏松症等危险因素会增加胸骨裂开的发生率，则该方法是可靠的。

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