CAJ | 학술논문

目的：探讨外固定架联合生物敷料封闭负压引流（vacuum sealing drainage ，VSD）治疗创伤性踝关节感染的临床效果。方法2010年6月-2012年6月创伤性踝关节感染患者24例，均给予彻底清创。采用外固定架撑开踝关节，联合生物敷料VSD吸引及单独使用生物敷料VSD吸引治疗各12例，分别记录使用VSD后冲洗液颜色变清的次数；局部红肿热痛等症状及体征消失；细菌培养转阴等指标。结果24例均获得4～28个月随访，外固定架＋VSD组及单独VSD组分别随访14．3个月和15．1个月。外固定架联合VSD组较单纯使用VSD组在平均细菌转阴时间及平均使用VSD次数差异均有统计学意义（ P＜0．05）。结论外固定架联合生物敷料VSD吸引与单独使用生物敷料VSD吸引治疗创伤性化脓性踝关节感染在治愈率上无明显差异，但平均治疗时间，平均细菌转阴时间缩短，平均使用VSD次数明显减少。
목적：탐토외고정가연합생물부료봉폐부압인류（vacuum sealing drainage ，VSD）치료창상성과관절감염적림상효과。방법2010년6월-2012년6월창상성과관절감염환자24례，균급여철저청창。채용외고정가탱개과관절，연합생물부료VSD흡인급단독사용생물부료VSD흡인치료각12례，분별기록사용VSD후충세액안색변청적차수；국부홍종열통등증상급체정소실；세균배양전음등지표。결과24례균획득4～28개월수방，외고정가＋VSD조급단독VSD조분별수방14．3개월화15．1개월。외고정가연합VSD조교단순사용VSD조재평균세균전음시간급평균사용VSD차수차이균유통계학의의（ P＜0．05）。결론외고정가연합생물부료VSD흡인여단독사용생물부료VSD흡인치료창상성화농성과관절감염재치유솔상무명현차이，단평균치료시간，평균세균전음시간축단，평균사용VSD차수명현감소。
Ob j ective To explore clinical results of using external fixation combined with vacuum sealing drain-age(VSD)to treatment traumatic ankle pyogenic infection .Methods Review 24 traumatic ankle infection patients since June 2010-June 2012 .12 cases were cured by external fixator open ankle joint combined with VSD .12 cases were separate used of VSD in the treatment of traumatic ankle infection .The traumatic ankle infection patients were given radical debridement .How many times were observed after VSD flushing fluid color becomes clear .Local swell-ing and heat pain and other symptoms and signs disappeared ,Bacterial culture negative index was also investigated . Results Two groups with 12 patients in each group were obtained for 4-28 months .The external fixation combined with VSD group and VSD alone group were average followed up for 14 .3 months and 15 .1 months .External fixation combined with VSD group was better than the simple use of VSD group in the average bacterial clearance time and average VSD usage frequency .The differences were statistically significant ( P<0 .05 ) .Conclusion External fixa-tion combined with VSD and separate use of VSD biological dressing vacuum sealing drainage had no significant difference in cure rates to treatment traumatic ankle infection ,but the average treatment time and the average bac-terial clearance time were shortened .VSD usage frequency was decreased obviously .