摘要
目的分析急诊显微外科技术治疗下肢严重创伤的临床效果。方法选取2018年1月至2020年1月我院收治的60例下肢严重创伤患者展开回顾性研究,根据治疗方法的不同将患者分为对照组(30例)和观察组(30例)。对照组行急诊修复治疗,观察组在对照组基础上行急诊显微外科技术治疗。比较两组的围术期相关指标、肌腱滑动度、肌腱回声厚度、肢体恢复情况及炎性因子水平。结果观察组的手术次数显著少于对照组,血运重建时间、住院时间均显著短于对照组(P<0.05)。观察组的肌腱滑动度显著大于对照组,肌腱回声厚度显著小于对照组(P<0.05)。治疗后6个月,观察组的MESS评分低于对照组,Johner-Wruhs评分高于对照组(P<0.05)。治疗后7 d,观察组的TNF-α、CRP、IL-6水平均低于对照组(P<0.05)。结论急诊显微外科技术治疗下肢严重创伤可明显缩短患者的血运重建时间和住院时间,改善其肌腱状态和炎性因子水平,促进患者下肢功能恢复。
Objective To analyze the clinical effect of emergency microsurgical techniques in the treatment of severe lower extremity trauma.Methods Sixty patients with severe lower extremity trauma treated in our hospital from January 2018 to January 2020 were selected for retrospective study.According to different treatment methods,the patients were divided into control group(30 cases)and observation group(30 cases).The control group received emergency repair treatment,and the observation group received emergency microsurgical techniques treatment on the basis of the control group.The perioperative related indexes,tendon slip degree,tendon echo thickness,limb recovery and inflammatory factors levels were compared between the two groups.Results The number of operation in the observation group was less than that of the control group,the revascularization time and hospital stay were significantly shorter than those in the control group(P<0.05).The tendon slip degree of the observation group was significantly greater than that of the control group,while the tendon echo thickness was significantly less than that of the control group(P<0.05).Six months after treatment,the MESS score of the observation group was lower than that of the control group,and the Johner-Wruhs score was higher than that of the control group(P<0.05).On 7 d after treatment,the levels of TNF-α,CRP and IL-6 in the observation group were lower than those in the control group(P<0.05).Conclusion Emergency microsurgical techniques in the treatment of severe lower extremity trauma can significantly shorten of revascularization time and hospital stay,improve the tendon state and inflammatory factors levels,and promote the recovery of lower extremity function of patients.
作者
代创国
张锋锋
DAI Chuangguo;ZHANG Fengfeng(Xi'an Fengcheng Hospital,Xi'an 710016;Xi'an International Medical Center Hospital,Xi'an 710100,China)
出处
《临床医学研究与实践》
2021年第34期93-95,共3页
Clinical Research and Practice
关键词
急诊
显微外科技术
下肢严重创伤
肌腱状态
炎性因子
emergency treatment
microsurgical techniques
severe lower extremity trauma
tendon state
inflammatory factors
