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目的评价硅胶封闭感染性起搏电极残端的疗效、远期预后及安全性。方法选择1998年以来因起搏器残留电极感染,经反复局部换药和全身抗感染治疗无效而实施硅胶封闭感染性起搏电极残端的12例住院患者进行疗效总结和随访资料分析。结果11例接受长期随访的患者未发现局部再感染、渗漏或心内膜炎等,患侧上肢活动自如,生活质量明显改善。结论硅胶封闭是治疗起搏电极残端引起囊袋感染、破溃的简便实用技术,具有良好的应用及推广前景。
Objective To evaluate the curative effect, long-term prognosis and safety of silicone encapsulated septic electrode stumps. Methods A total of 12 hospitalized patients with silicagel-sealing infectious pacing electrode stump were selected for follow-up analysis because of the residual electrode infection of pacemaker and the ineffective treatment by repeated local dressing and systemic anti-infective therapy. Results Eleven patients with long-term follow-up did not find any local re-infection, leakage or endocarditis. The affected upper limbs were able to move freely and their quality of life improved significantly. Conclusion Silicone sealing is a simple and practical technique for the treatment of capsular bag infection and ulceration caused by the pacing electrode. It has good application and promotion prospects.