CAJ | 학술논문

目的：探讨锁骨骨折术后感染的原因及防治方法。方法：2003年1月-2013年1月收治锁骨骨折术后发生感染患者52例，分别采用钢板、弹性髓内钉、克斯针、螺钉或钢丝固定，对其感染原因分析，得出防治方法。对锁骨骨折术后感染病灶行彻底清创，负压或灌洗引流，及时拆除内固定，必要时更换外固定，皮瓣覆盖创面等治疗。结果：通过病灶清除、负压或灌洗引流、拆除内固定、更换固定方式、皮瓣覆盖创面等治疗，感染均得到控制，平均拔管时间23天。结论：锁骨骨折手术后感染原因较多，应积极预防，早期发现，及时行病灶清创、引流、拆除内固定、更换固定方式及皮瓣覆盖创面等治疗方法，及时控制感染。
목적：탐토쇄골골절술후감염적원인급방치방법。방법：2003년1월-2013년1월수치쇄골골절술후발생감염환자52례，분별채용강판、탄성수내정、극사침、라정혹강사고정，대기감염원인분석，득출방치방법。대쇄골골절술후감염병조행철저청창，부압혹관세인류，급시탁제내고정，필요시경환외고정，피판복개창면등치료。결과：통과병조청제、부압혹관세인류、탁제내고정、경환고정방식、피판복개창면등치료，감염균득도공제，평균발관시간23천。결론：쇄골골절수술후감염원인교다，응적겁예방，조기발현，급시행병조청창、인류、탁제내고정、경환고정방식급피판복개창면등치료방법，급시공제감염。
Objective:To explore the causes of infection after clavicular fracture operation and prevention methods.Methods:52 cases with infection after clavicular fractures operation were selected from January 2003 to January 2013.They were treated respectively with steel plate,intramedullary nail,screw,needle,or wire fixation.We analyzed the cause of infection to find the control methods.Infection lesions after clavicular fractures operation underwent debridement,negative pressure or irrigation drainage,and the timely removal of internal fixation,when necessary,we gave the replacement of external fixation and flap to cover the wound treatment and other treatment.Results:With debridement,negative pressure or irrigation drainage,removal of internal fixation,the replacement of external fixation and flap to cover the wound treatment and other treatment,the infection were all controlled,and the average time was 23 days.Conclusion:After the clavicular fracture operation,infection is more.We should give active prevention and early detection,and timely treatment of debridement,negative pressure or irrigation drainage,removal of internal fixation,the replacement of external fixation and flap to cover the wound treatment and other treatment to control infection in time.