广西医学
廣西醫學
엄서의학
GUANGXI MEDICAL JOURNAL
2014年
3期
306-308
,共3页
胫骨骨折%负压封闭引流%肌皮瓣移植%慢性骨髓炎%开放性骨折
脛骨骨摺%負壓封閉引流%肌皮瓣移植%慢性骨髓炎%開放性骨摺
경골골절%부압봉폐인류%기피판이식%만성골수염%개방성골절
Tibial fracture%Vaccum sealing drainage%Muscle flap transplantation%Chronic osteomyelitis%Open fracture
目的:比较负压封闭引流术联合肌皮瓣移植与传统方法治疗胫骨开放性骨折并发慢性骨髓炎的效果,为临床治疗提供参考。方法胫骨开放性骨折并发慢性骨髓炎患者73例,按随机数字表法分为负压封闭引流术组(A组)38例和常规换药组(B组)35例。 A组采用负压封闭引流术联合肌皮瓣移植治疗,B组采用传统换药皮瓣移植术治疗。比较两组的愈合率、愈合时间、医疗费用、感染性皮瓣坏死发生率、剧烈疼痛持续时间、患者满意率、踝关节僵硬发生率等指标。结果 A组患者愈合率、满意率均高于B组(P<0.05),感染性皮瓣坏死发生率、踝关节僵硬等发生率均低于B组(P<0.05),愈合时间、剧烈疼痛持续时间等均短于B组(P<0.05),两组的医疗费用差异无统计学意义(P>0.05)。结论负压封闭引流术结合肌皮瓣转位具有愈合率高、愈合快、痛苦小、并发症少、患者满意率高等优点。
目的:比較負壓封閉引流術聯閤肌皮瓣移植與傳統方法治療脛骨開放性骨摺併髮慢性骨髓炎的效果,為臨床治療提供參攷。方法脛骨開放性骨摺併髮慢性骨髓炎患者73例,按隨機數字錶法分為負壓封閉引流術組(A組)38例和常規換藥組(B組)35例。 A組採用負壓封閉引流術聯閤肌皮瓣移植治療,B組採用傳統換藥皮瓣移植術治療。比較兩組的愈閤率、愈閤時間、醫療費用、感染性皮瓣壞死髮生率、劇烈疼痛持續時間、患者滿意率、踝關節僵硬髮生率等指標。結果 A組患者愈閤率、滿意率均高于B組(P<0.05),感染性皮瓣壞死髮生率、踝關節僵硬等髮生率均低于B組(P<0.05),愈閤時間、劇烈疼痛持續時間等均短于B組(P<0.05),兩組的醫療費用差異無統計學意義(P>0.05)。結論負壓封閉引流術結閤肌皮瓣轉位具有愈閤率高、愈閤快、痛苦小、併髮癥少、患者滿意率高等優點。
목적:비교부압봉폐인류술연합기피판이식여전통방법치료경골개방성골절병발만성골수염적효과,위림상치료제공삼고。방법경골개방성골절병발만성골수염환자73례,안수궤수자표법분위부압봉폐인류술조(A조)38례화상규환약조(B조)35례。 A조채용부압봉폐인류술연합기피판이식치료,B조채용전통환약피판이식술치료。비교량조적유합솔、유합시간、의료비용、감염성피판배사발생솔、극렬동통지속시간、환자만의솔、과관절강경발생솔등지표。결과 A조환자유합솔、만의솔균고우B조(P<0.05),감염성피판배사발생솔、과관절강경등발생솔균저우B조(P<0.05),유합시간、극렬동통지속시간등균단우B조(P<0.05),량조적의료비용차이무통계학의의(P>0.05)。결론부압봉폐인류술결합기피판전위구유유합솔고、유합쾌、통고소、병발증소、환자만의솔고등우점。
Objective To compare the therapeutic effect of vaccum sealing drainage combined with muscle flap transplantation versus traditional methods on open tibial fractures complicated with chronic osteomyelitis ,and to provide some references for the clinical treatment .Methods Seventy-three cases of open tibial fractures complicated with chronic osteomyelitis were divided into two groups according the random number table ,with 38 cases in the vaccum sealing drainage group(group A) and 35 cases in conventional debridement dressing group (group B).The patients in group A were treated with vaccum sealing drainage combined with muscle flap transplantation while in group B were treated with conventional debridement and dressing plus flap transplantation .The indexes including healing rate ,healing time,total medical costs , incidence of skin flap necrosis for infection ,duration of acute pain ,patient satisfaction rate and incidence of ankle joint stiffness were compared between two groups .Results The healing rate ,patient satisfaction rate of group A were higher than those of group B(P<0.05).The incidence of skin flap necrosis for infection and incidence of ankle joint stiffness of group A were lower than those of group B (P<0.05).The healing time and duration of acute pain of group A were less than those of group B ( P<0 .05 ) .There was no significant difference in total medical costs between two groups ( P>0 .05 ) .Conclusion The vaccum sealing drainage combined with muscle flap transplantation has the advantages of high healing rate ,fast healing ,less pain ,less complications and higher patient satisfaction rate .