中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
28期
55-56
,共2页
开放性胫腓骨骨折%内固定联合负压吸引(VSD)%创面修复
開放性脛腓骨骨摺%內固定聯閤負壓吸引(VSD)%創麵脩複
개방성경비골골절%내고정연합부압흡인(VSD)%창면수복
Compound tibiofibula fracture%Internal fixation combined with VSD%Wound healing
目的：探讨内固定术联合封闭负压吸引(VSD )技术治疗开放性胫腓骨骨折的临床治疗效果。方法将2012年3月-2014年2月该院收治的72例开放性胫腓骨骨折患者，随机分为两组，每组36例。试验组采用内固定联合负压封闭吸引(VSD )技术进行治疗，二期修复创面》对照组采用传统的I期清创﹑外固定﹑术后创面换药，二期手术内固定及创面修复进行治疗，比较两组患者的临床治疗效果。结果试验组患者具有较好的创面修复能力，骨折愈合良好》与对照组患者相比，试验组患者的住院治疗时间及II次创面修复时间都显著缩短，降低了创面感染的发生率，两组差异有统计学意义(P<0.05)。结论对开放性胫腓骨骨折患者采用内固定联合负压吸引(VSD)技术治疗具有显著的临床疗效，可有效地缩短住院时间，大大地降低感染率，减轻患者的痛苦，值得在临床上推广使用。
目的：探討內固定術聯閤封閉負壓吸引(VSD )技術治療開放性脛腓骨骨摺的臨床治療效果。方法將2012年3月-2014年2月該院收治的72例開放性脛腓骨骨摺患者，隨機分為兩組，每組36例。試驗組採用內固定聯閤負壓封閉吸引(VSD )技術進行治療，二期脩複創麵》對照組採用傳統的I期清創﹑外固定﹑術後創麵換藥，二期手術內固定及創麵脩複進行治療，比較兩組患者的臨床治療效果。結果試驗組患者具有較好的創麵脩複能力，骨摺愈閤良好》與對照組患者相比，試驗組患者的住院治療時間及II次創麵脩複時間都顯著縮短，降低瞭創麵感染的髮生率，兩組差異有統計學意義(P<0.05)。結論對開放性脛腓骨骨摺患者採用內固定聯閤負壓吸引(VSD)技術治療具有顯著的臨床療效，可有效地縮短住院時間，大大地降低感染率，減輕患者的痛苦，值得在臨床上推廣使用。
목적：탐토내고정술연합봉폐부압흡인(VSD )기술치료개방성경비골골절적림상치료효과。방법장2012년3월-2014년2월해원수치적72례개방성경비골골절환자，수궤분위량조，매조36례。시험조채용내고정연합부압봉폐흡인(VSD )기술진행치료，이기수복창면》대조조채용전통적I기청창﹑외고정﹑술후창면환약，이기수술내고정급창면수복진행치료，비교량조환자적림상치료효과。결과시험조환자구유교호적창면수복능력，골절유합량호》여대조조환자상비，시험조환자적주원치료시간급II차창면수복시간도현저축단，강저료창면감염적발생솔，량조차이유통계학의의(P<0.05)。결론대개방성경비골골절환자채용내고정연합부압흡인(VSD)기술치료구유현저적림상료효，가유효지축단주원시간，대대지강저감염솔，감경환자적통고，치득재림상상추엄사용。
Objective To observe the clinical effect of internal fixation combined with vacuum sealing drainage (VSD) on com-pound tibiofibula fracture. Methods 72 cases of patients with compound tibiofibula fracture admitted in our hospital from March 2012 to February 2014 were selected and randomly divided into two groups, 36 cases in each group. The test group were treated by internal fixation combined with VSD, repairing the wound in the two-stage operation, and the control group were treated by the traditional method, such as Phase I debridement, external fixation, postoperative wound dressing, internal fixation and repairing the wound in the two-stage operation. And the clinical treatment effects were compared between the two groups. Results For the test group, all the wound surface and fracture healed well, compared with the patients in the control group, patients in the test group had less length of stay and wound healing time in the two-stage operation, which reduced the incidence of wound infection, the difference between the two groups was statistically significant (P<0.05). Conclusion Internal fixation combined with VSD for com-pound tibiofibula fracture is of great clinical value, which can effectively shorten the length of stay, reduce the wound infection rate significantly, alleviate the suffering of patients, so it is worthy of clinical promotion and application.
