中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
11期
51-51,53
,共2页
负压封闭引流%跟骨牵引%小腿骨折%骨筋膜室综合征
負壓封閉引流%跟骨牽引%小腿骨摺%骨觔膜室綜閤徵
부압봉폐인류%근골견인%소퇴골절%골근막실종합정
Vacuum sealing drainage%Calcaneal traction%Fracture of lower leg%Osteofascial compartment syndrome
目的：探讨负压封闭引流技术(VSD)加跟骨牵引在小腿骨折后骨筋膜室综合征治疗中的效果。方法：2009年7月-2013年7月收治小腿骨折后骨筋膜室综合征患者21例，行急诊切开减张及跟骨牵引术后，使用负压封闭引流装置覆盖骨筋膜室综合征切开减张术后创面。结果：术后1～2周移除引流敷料，见切口肿胀消退，肉芽组织新鲜，无明显感染。21例行钢板内固定术后，减张伤口均行直接缝合。随访时间3～12个月，创面愈合良好，无功能障碍，外形满意。结论：负压封闭引流技术加跟骨牵引对小腿骨折后筋膜室综合征有明显的疗效。
目的：探討負壓封閉引流技術(VSD)加跟骨牽引在小腿骨摺後骨觔膜室綜閤徵治療中的效果。方法：2009年7月-2013年7月收治小腿骨摺後骨觔膜室綜閤徵患者21例，行急診切開減張及跟骨牽引術後，使用負壓封閉引流裝置覆蓋骨觔膜室綜閤徵切開減張術後創麵。結果：術後1～2週移除引流敷料，見切口腫脹消退，肉芽組織新鮮，無明顯感染。21例行鋼闆內固定術後，減張傷口均行直接縫閤。隨訪時間3～12箇月，創麵愈閤良好，無功能障礙，外形滿意。結論：負壓封閉引流技術加跟骨牽引對小腿骨摺後觔膜室綜閤徵有明顯的療效。
목적：탐토부압봉폐인류기술(VSD)가근골견인재소퇴골절후골근막실종합정치료중적효과。방법：2009년7월-2013년7월수치소퇴골절후골근막실종합정환자21례，행급진절개감장급근골견인술후，사용부압봉폐인류장치복개골근막실종합정절개감장술후창면。결과：술후1～2주이제인류부료，견절구종창소퇴，육아조직신선，무명현감염。21례행강판내고정술후，감장상구균행직접봉합。수방시간3～12개월，창면유합량호，무공능장애，외형만의。결론：부압봉폐인류기술가근골견인대소퇴골절후근막실종합정유명현적료효。
Objective:To explore the effect of vacuum sealing drainage with calcaneal traction in the treatment of osteofascial compartment syndrome after fracture of lower leg.Methods:21 patients with osteofascial compartment syndrome after fracture of lower leg were selected from July 2009 to July 2013.They were treated by emergency fasciotomy and calcaneal traction,and then were given negative closed drainage device with osteofascial compartment syndrome for fasciotomy of the wound after the operation.Results:After 1 to 2 weeks,drain was removed,incision swelling was faded,granulation tissue was fresh,there was no obvious infection.21 cases were given plate fixation,reducing tension of the wound was sutured directly.The follow-up time was 3 to 12 months,wound healing was good,there was no dysfunction,appearance was satisfactory.Conclusion:The effect of vacuum sealing drainage with calcaneal traction in the treatment of osteofascial compartment syndrome after fracture of lower leg was significant.
