Clinical effect analysis of capsule reconstruction under pectoralis major to repair exposed pacemaker
Journal Title: Journal of Air Force Medical University - Year 2023, Vol 44, Issue 7
Abstract
Objective To investigate the clinical effect of capsule reconstruction under pectoralis major to repair exposed pacemaker. Methods From March 2017 to July 2021, 32 patients with exposed pacemakers treated in the Department of Burns and Cutaneous Surgery, Xijing Hospital, Air Force Medical University were retrospectively analyzed, and they were divided into observation group (n = 16) and control group (n = 16) according to different surgical options. The observation group was given capsule reconstruction under pectoralis major and the control group was given local flap in-situ repair. The clinical efficacy, postoperative scar, postoperative pain and patient satisfaction were compared between the two groups. Results Six months after surgery, 10 cases (62. 5% ) were cured, 5 cases (31. 3% ) were effective and 1 case (6. 2% ) was ineffective in the observation group. In the control group, 7 cases (43. 8% ) were cured, 4 cases (25. 0% ) were effective, and 5 cases (31. 2% ) were ineffective. The total effective rate of the observation group was higher than that of the control group (93. 8% vs 68. 8% ), and the difference was statistically significant ( F2 = 4. 108, P < 0. 05). Six months after surgery, the Vancouver Scar Scale and Visual Analogue Scale scores of the observation group were lower than those of the control group [(4. 16 ±0. 65) points vs (6. 70 ±1. 05) points, (1. 09 ±0. 40) points vs (3. 85 ±0. 55) points], and the differences were statistically significant ( P < 0. 05). Postoperative satisfaction scores of patients in the observation group were significantly higher than those of the control group [(90. 34 ± 11. 71) points vs (76. 33 ± 9. 02)points], and the difference was statistically significant ( P < 0. 05 ) . Conclusion The capsule reconstruction under pectoralis major is far away from the primary infection site, and the anti-infection ability under the muscle flap is strong, avoiding mechanical friction of instruments on the skin. The appearance after local repair is good, and the satisfaction degree of patients is high, which is worthy of further clinical promotion.
Authors and Affiliations
ZHANG Wanfu, XU Jing, HAN Fei, TONG Lin, WANG Yunwei, ZHANG Hao, GUAN Hao
Keywords
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