CAJ | 학술논문

目的研究全膝关节置换术中闭合引流的效果.方法 16例病人(32个膝关节)同时行全膝关节置换术,随机一侧放置闭合负压引流,另一侧不放置引流作对照,比较术后引流对伤口愈合和伤口感染的影响.所有手术均由同一组人员操作,采用同一种技术.结果未放置引流的膝关节发生伤口渗血及敷料浸透需行敷料更换的几率高,伤口周围瘀斑和红斑的面积大.但非引流组与引流组在股四头肌肌力的恢复、关节运动范围、伤口并发症上差异无统计学意义.结论虽然感染的发生率两组比较差异无统计学意义,但非引流组发生的膝关节感染提示引流可能会减少深部感染.
목적 연구전슬관절치환술중폐합인류적효과.방법 16례병인(32개슬관절)동시행전슬관절치환술,수궤일측방치폐합부압인류,령일측불방치인류작대조,비교술후인류대상구유합화상구감염적영향.소유수술균유동일조인원조작,채용동일충기술.결과 미방치인류적슬관절발생상구삼혈급부료침투수행부료경환적궤솔고,상구주위어반화홍반적면적대.단비인류조여인류조재고사두기기력적회복、관절운동범위、상구병발증상차이무통계학의의.결론 수연감염적발생솔량조비교차이무통계학의의,단비인류조발생적슬관절감염제시인류가능회감소심부감염.
Objective To evaluate the effect of closed suction drainage for major orthopedic procedures. Methods A pro-spective study on 16 patients (32 knees) who had a primary simultaneous bilateral total knee replacement was conducted to assess the effect of postoperative auction drainage on wound healing and infection. A suction drain was placed by randomization of side for the drained versus nondrained side. The same operative technique was used in all wounds of total knee arthroplasty. Results The knees that had no drains had a higher incidence of drainage from the wound, had soaked dressings requiring dressing changments,and had more ecchymosis and erythema around the wound. However,the final results regarding quadriceps strength, range of motion,and wound complications were not affected significantly by nonuse of closed suction drainage. Conclusion Al-though the incidence of infection in the two groups is not statistically different and the development of infection in one knee in which drains are not used suggests that suction drainage may reduce deep infection.