组织工程与重建外科杂志
組織工程與重建外科雜誌
조직공정여중건외과잡지
JOURNAL OF TISSUE ENGINEERING AND RECONSTRUCTIVE SURGERY
2014年
6期
343-345
,共3页
杨代%房波%宋桂先%闫新海%孙书海%申玉珍
楊代%房波%宋桂先%閆新海%孫書海%申玉珍
양대%방파%송계선%염신해%손서해%신옥진
腓肠肌皮瓣%负压封闭引流%慢性胫骨骨髓炎%软组织缺损
腓腸肌皮瓣%負壓封閉引流%慢性脛骨骨髓炎%軟組織缺損
비장기피판%부압봉폐인류%만성경골골수염%연조직결손
Gastrocnemius muscle flap%Vacuum sealing drainage%Chronic tibia osteomyelitis%Soft tissue defect
目的:探讨腓肠肌皮瓣联合负压封闭引流,治疗胫骨慢性骨髓炎及软组织缺损的临床疗效。方法回顾分析2010年1月至2013年12月,20例胫骨慢性骨髓炎及软组织缺损患者,8例采用传统治疗方法(对照组),12例采用腓肠肌皮瓣联合负压封闭引流治疗(实验组)。比较两组各项指标,包括治疗72 h后血清C反应蛋白变化率、治愈率、治愈所需时间、复发率等。结果实验组各指标均显著优于对照组(P<0.05):治疗72 h后血清C反应蛋白变化率、一次性治愈率明显高于对照组,治愈所需时间明显低于对照组,实验组复发率0%。结论腓肠肌皮瓣联合负压封闭引流治疗胫骨慢性骨髓炎及软组织缺损,疗效稳定、恢复快、复发率低,值得临床推广应用。
目的:探討腓腸肌皮瓣聯閤負壓封閉引流,治療脛骨慢性骨髓炎及軟組織缺損的臨床療效。方法迴顧分析2010年1月至2013年12月,20例脛骨慢性骨髓炎及軟組織缺損患者,8例採用傳統治療方法(對照組),12例採用腓腸肌皮瓣聯閤負壓封閉引流治療(實驗組)。比較兩組各項指標,包括治療72 h後血清C反應蛋白變化率、治愈率、治愈所需時間、複髮率等。結果實驗組各指標均顯著優于對照組(P<0.05):治療72 h後血清C反應蛋白變化率、一次性治愈率明顯高于對照組,治愈所需時間明顯低于對照組,實驗組複髮率0%。結論腓腸肌皮瓣聯閤負壓封閉引流治療脛骨慢性骨髓炎及軟組織缺損,療效穩定、恢複快、複髮率低,值得臨床推廣應用。
목적:탐토비장기피판연합부압봉폐인류,치료경골만성골수염급연조직결손적림상료효。방법회고분석2010년1월지2013년12월,20례경골만성골수염급연조직결손환자,8례채용전통치료방법(대조조),12례채용비장기피판연합부압봉폐인류치료(실험조)。비교량조각항지표,포괄치료72 h후혈청C반응단백변화솔、치유솔、치유소수시간、복발솔등。결과실험조각지표균현저우우대조조(P<0.05):치료72 h후혈청C반응단백변화솔、일차성치유솔명현고우대조조,치유소수시간명현저우대조조,실험조복발솔0%。결론비장기피판연합부압봉폐인류치료경골만성골수염급연조직결손,료효은정、회복쾌、복발솔저,치득림상추엄응용。
Objective To explore the effect of gastrocnemius muscle flap combining vacuum sealing drainage (VSD) in the treatment of chronic osteomyelitis with soft tissue defect in tibia. Methods From Jan. 2010 to Dec. 2013, a total of 20 patients with chronic tibia osteomyelitis with soft tissue defect were analyzed retrospectively. The patients were divided into 2 groups, 8 cases were treated with traditional methods (control group) and other 12 cases were treated with gastrocnemius muscle flap combining VSD (experimental group). Changing rate of CRP 72 hours post-operative, one-time cure rate, healing time and recurrence rate were assessed. Results All the indexes in experimental group were better than in control group (P<0.05). Comparing with control group, the changing rate of CRP 72 hours post-operatively and one-time cure rate in experimental group were higher, while the healing time was lower. The recurrence rate of experimental group was 0%. Conclusion Gastrocnemius muscle flap combining with VSD is effective in treating chronic osteomyelitis with soft tissue defect in tibia with stable curative effect, quick recovery and low recurrence rate, and is worthy of promotion.