摘要
目的探讨附带负压吸引材料的外固定钢板在四肢开放性骨折中的应用。方法 2013年12月—2016年12月铜川市人民医院治疗四肢开放性骨折患者100例,男性69例,女性31例;年龄21～61岁,平均38. 8岁;道路交通伤53例,碾压伤37例,高处坠落伤10例。依据治疗方法分为A组和B组,每组50例。A组给予常规外固定架联合负压封闭引流技术(VSD)治疗,B组给予附带负压吸引材料的外固定钢板治疗。比较分析两组换药次数、创面感染发生率、创面愈合时间、住院时间、骨折愈合时间、愈合优良率以及患者疼痛视觉模拟评分(VAS)。结果 B组换药次数[(2. 05±0. 61)次vs.(6. 46±1. 68)次]、创面感染发生率(6. 00%vs. 24. 00%)和创面愈合时间[(17. 42±2. 48) d vs.(26. 15±3. 05) d]、住院时间[(21. 75±2. 79) d vs.(28. 45±3. 48) d]、骨折愈合时间[(5. 98±0. 63)个月vs.(6. 74±0. 75)个月]明显低于A组,B组愈合优良率(96. 00%vs. 80. 00%)明显高于A组,差异有统计学意义(P <0. 05); A组和B组治疗后VAS评分[(1. 85±0. 35)分、(1. 02±0. 24)分]明显低于治疗前[(4. 62±0. 51)分、(4. 65±0. 53)分],但B组治疗后VAS评分明显低于A组,差异有统计学意义(P <0. 05)。结论附带负压吸引材料的外固定钢板治疗四肢开放性骨折可有效减少创面感染的发生,有利于缓解疼痛症状及提高创面、骨折愈合效果,值得临床进一步推广。
Objective To discuss the application of external fixed steel plate with vacuum sealing drainage in open extremity fractures.Methods Totally 100 patients with open extremity fractures were selected from Dec.2013 to Dec.2016 in the People s Hospital of Tongchuan.There were 69 males and 31 females,with the average age of 38.8 years(range,21-60 years).Injury causes included 53 road traffic injuries,37 crushing injuries and 10 falling injuries.According to the treatment method,they were divided into group A and group B,with 50 cases in each group.Group A was given conventional external fixation plates combined vacuum sealing drainage(VSD)treatment,and group B was given external fixed steel plates with negative pressure drainage treatment.Comparison and analysis of the frequency of dressing changes,incidence of wound infection,wound healing time,hospitalization time,fracture healing time,excellent and good rate of healing,and VAS between the two groups were carried out.Results The dressing change frequency((2.05±0.61)times vs.(6.46±1.68)times),wound infection rate(6.00%vs.24.00%)and wound healing time((17.42±2.48)d vs.(26.15±3.05)d),hospitalization time((21.75±2.79)d vs.(28.45±3.48)d),fracture healing time((5.98±0.63)months vs.(6.74±0.75)months)time in group B were significantly less than those in group A.The healing excellence rate(96.00%vs.80.00%)in group B was significantly higher than that in group A,and the difference was statistically significant(P<0.05).VAS after treatment in group A and group B((1.85±0.35)points,(1.02±0.24)points)were significantly lower than those before treatment((4.62±0.51)points,(4.65±0.53)points),but VAS score after treatment in the group B was significantly lower than that in group A,and the difference was statistically significant(P<0.05).Conclusion External fixed steel plates with vacuum sealing drainage can effectively reduce the wound infection in patients with open extremity fractures,which is helpful to relieve pain symptoms and improve the effect of wound and fracture h
作者
张小军
李军
习勇
申健
封鹏
王海贤
王玉
ZHANG Xiao-jun;LI Jun;XI Yong;SHEN Jian;FENG Peng;WANG Hai-xian;WANG Yu(The People s Hospital of Tongchuan,Tongchuan,Shanxi 727000,China)
出处
《创伤外科杂志》
2019年第1期36-39,共4页
Journal of Traumatic Surgery
关键词
四肢骨折
负压吸引
钢板
外固定
extremity fractures
vacuum sealing drainage
steel plate
external fixation
