CAJ | 학술논문

目的评价封闭式负压引流术在心胸外科手术后胸骨骨髓炎创面治疗效果.方法 132例心胸外科手术后胸骨骨髓炎患者随机分为观察组(72例)和对照组(60例),对照组给予常规治疗及普通换药;观察组采用创面准备及封闭式负压引流术.观察两组创面愈合时间及临床治疗效果.结果患者年龄与术后胸骨骨髓炎的发生显著相关(OR=1.153,P=0.004).经治疗,观察组平均愈合时间(3.1±0.8)个月,明显短于对照组的(7.2±1.5)个月(t=4.78,P＜0.05).结论采用负压引流术可有效治疗心胸外科手术后胸骨骨髓炎,缩短愈合时间.
목적 평개봉폐식부압인류술재심흉외과수술후흉골골수염창면치료효과.방법 132례심흉외과수술후흉골골수염환자수궤분위관찰조(72례)화대조조(60례),대조조급여상규치료급보통환약;관찰조채용창면준비급봉폐식부압인류술.관찰량조창면유합시간급림상치료효과.결과 환자년령여술후흉골골수염적발생현저상관(OR=1.153,P=0.004).경치료,관찰조평균유합시간(3.1±0.8)개월,명현단우대조조적(7.2±1.5)개월(t=4.78,P＜0.05).결론 채용부압인류술가유효치료심흉외과수술후흉골골수염,축단유합시간.
Objective To explore detection value of vacuum sealing drainage in osteomyelitis of sternum after cardio-thoracic surgery operation.Methods 132 cases of osteomyelitis of sternum after cardio-thoracic surgery operation were randomly divided into two groups(research group and control group).The research group had 72 cases)and the control group had 60 cases.The control group was treated with conventional treatment.The research group was treated with vacuum sealing drainage.The average healing time and clinical therapeutic effect of the two groups were observed.Results The patients'age and the sternum of osteomyelitis was significantly related,with OR=1.153 and P＜0.05.After treatment,the average healing time of the research group was(3.1±0.8)months.The average healing time of the control group was(7.2±1.5)months.The average healing time of the two groups had significant difference(P＜0.05).Conclusion Vacuum sealing drainage in osteomyelitis of sternum after cardio-thoracic surgery operation has sure curative effect.It can change chronic wounds for acute tissue effectively,shorten the healing time.It has high application value in the first phase of treatment and the second phase of repair.