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Clinical application of sternal ligation band in sternotomy of thymic tumor
Received:January 31, 2021  Revised:March 15, 2021  Click here to download the full text
Citation of this paper:XUE Shi-yue,WANG Shuai,GAO Jian,DING Jian-yong,JIANG Jia-hao.Clinical application of sternal ligation band in sternotomy of thymic tumor[J].Chinese Journal of Clinical Medicine,2021,28(4):610-613
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Author NameAffiliationE-mail
XUE Shi-yue Department of Cardiothoracic Surgery, the First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou 450000, Henan, China
Department of Thoracic Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China 
 
WANG Shuai Department of Thoracic Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
GAO Jian Department of Thoracic Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
DING Jian-yong Department of Thoracic Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China  
JIANG Jia-hao Department of Thoracic Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China jiang.jiahao@zs-hospital.sh.cn 
Abstract:Objective: To explore the safety and value of sternal ligation band in the operation of sternal cleavage for thymic tumor. Methods: From June 2020 to December 2020, 34 patients with thymic tumor who underwent sternotomy in the Department of Thoracic Surgery, Zhongshan Hospital, Fudan University were selected as the research subjects. According to the sternal fixation materials, they were divided into sternal ligation group (observation group, n=13) and steel wire group (control group, n=21). The duration of sternum fixation, amount of blood loss during sternum fixation, visual analogue score of postoperative pain, incision complications, and other clinical indexes were observed and compared between the two groups. Results: The sternal fixation time in the observation group was shorter than that in the control group, the amount of bleeding during sternum fixation in the observation group was less than that in the control group ([7.6±2.3]min vs[17.2±1.9] min,[44.0±34.0] mL vs[110.0±36.0] mL), the visual analogue score of postoperative pain in the observation group was lower than that in the control group (2.1±1.0 vs 4.9±1.0), and the differences were statistically significant (P<0.05). Conclusions: Sternal ligation band is reliable, simple, and safe in sternal cleavage for thymic tumors, which can significantly shorten the time of closing the chest, reduce bleeding during sternum fixation and relieve postoperative pain.
keywords:thymic tumor  sternotomy  sternal fixation  sternal ligation band
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