摘要
目的通过比较冲洗引流与单纯引流在跟骨骨折内固定术后预防切口并发症方面的价值，探讨切口冲洗引流在跟骨骨折钢板内固定围手术期的意义。方法对2003年6月至2006年12月问采用外侧人路切开复位钢板内固定治疗的92例107侧跟骨骨折患者进行回顾性分析，其中术后冲洗引流（A组）63侧，术后单纯引流（B组）44侧，A、B两组经两独立样本t检验排除年龄、坠落高度、开放伤、术前时间、止血带及抗生素使用时间等干扰因素。从切口感染、皮下血肿形成、表皮水疱、切口裂开、皮缘坏死、钢板外露等方面比较两组的结果，并对两组切口并发症发生率进行，检验。结果A组63侧跟骨手术后4侧（4次）发生切口相关并发症，发生率为6．3％；其中1侧为可疑伤口感染，3侧发生表皮水疱。B组44侧跟骨手术后11侧（15次）发生切口相关并发症，发生率为25．0％；其中1侧出现皮下血肿、切口裂开，最终导致钢板外露，表皮水疱与皮下血肿单独发生各1侧，同时发生2侧，可疑切口感染3侧，确诊切口感染1侧，皮缘坏死2侧。两组切口并发症发生率比较差异有统计学意义（x^2=7．476，P〈0．05）。结论冲洗引流可以有效地减少跟骨骨折术后切口并发症的发生。
Objective To compare the effects of irrigation plus drainage versus sole drainage on wound complications after open reduction and internal fixation （ORIF） of calcaneal fractures. Methods From June 2003 to December 2006, 107 calcaneal fractures （92 cases） were treated by open reduction and internal fixation using a lateral approach. Of them, 63 fractures （group A） were managed with irrigation plus drainage, and 44 fractures （group B） received drainage without irrigation, Postoperative wound complications, including incision infection, ecchymoma, blistering, sloughing, dehiscence, necrosis and exposure of implants, were compared between the 2 groups by t-test. Results Postoperative wound complications occurred in 4 fractures （4 times） in group A and in 11 fractures （15 times） in group B. The difference in postoperative wound complication rate between group A （6.3%） and group B （25.0%） was statistically significant （x^2 = 7. 476, P 〈 0. 05） . Conclusion Drainage plus irrigation plays a positive role in the prevention of wound complications after ORIF of calcaneal fractures.
出处
《中华创伤骨科杂志》
CAS
CSCD
2008年第8期715-718,共4页
Chinese Journal of Orthopaedic Trauma
关键词
跟骨
骨折
骨折固定术
并发症
冲洗
Calcaneus
Fractures
Fracture fixation
Complications
Douching
