CAJ | 학술논문

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月间采用外侧入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冈素.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χ2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,发牛率为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)发牛切口相关并发症,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(χ2=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.
목적 통과비교충세인류여단순인류재근골골절내고정술후예방절구병발증방면적개치,탐토절구충세인류재근골골절강판내고정위수술기적의의.방법 대2003년6월지2006년12월간채용외측입로절개복위강판내고정치료적92례107측근골골절환자진행회고성분석,기중술후충세인류(A조)63측,술후단순인류(B조)44측,A、B량조경량독립양본t검험배제년령、추락고도、개방상、술전시간、지혈대급항생소사용시간등간우강소.종절구감염、피하혈종형성、표피수포、절구렬개、피연배사、강판외로등방면비교량조적결과,병대량조절구병발증발생솔진행χ2검험.결과 A조63측근골수술후4측(4차)발생절구상관병발증,발우솔위6.3%;기중1측위가의상구감염,3측발생표피수포.B조44측근골수술후11측(15차)발우절구상관병발증,발생솔위25.0%;기중1측출현피하혈종、절구렬개,최종도치강판외로,표피수포여피하혈종단독발생각1측,동시발생2측,가의절구감염3측.학진절구감염1측,피연배사2측.량조절구병발증발생솔비교차이유통계학의의(χ2=7.476,P＜0.05).결론 충세인류가이유효지감소근골골절술후절구병발증적발생.
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 Decemher 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 (χ2=7.476,P＜0.05). Conclusion Drainage plus irrigation plays a positive role in the prevention of wound complications after ORIF of calcaneal fractures.