中国医药科学
中國醫藥科學
중국의약과학
China Medicine and Pharmacy
2015年
14期
189-191
,共3页
跟骨骨折%Donati-Allgower缝合法%并发症%手术治疗
跟骨骨摺%Donati-Allgower縫閤法%併髮癥%手術治療
근골골절%Donati-Allgower봉합법%병발증%수술치료
Calcaneal fractures%Donati-Allgower suture%Complications%Surgical treatment
目的 探讨Donati-Allgower缝合法在跟骨骨折手术切口缝合时的临床效果.方法 选择2011年4月~2013年4月63例跟骨骨折患者,随机采用DA缝合法及垂直褥式缝合法行切口一期闭合.DA缝合法(A组)31例,垂直褥式缝合法32例(B组),观察术后至术后1个月切口周围情况.观察指标包括疗效、皮缘血运、肿胀、感染、坏死等愈合相关临床指征.结果 A组临床疗效优良率为93.5%,B临床疗效优良率为87.5%,两组比较差异并无统计学意义(x2=0.15,P>0.05).A组术后切口均获甲级愈合,2例出现明显皮缘缺血无坏死,无伤口感染等并发症发生,B组7例切口皮缘出现缺血表现,后期愈合良好,1例坏死、1例感染行其他治疗.A组并发症发生率(6.5%)明显低于B组(28.1%)(P<0.05).结论 DA缝合法在跟骨骨折手术切口缝合时,能保护皮缘血运、避免组织缺血坏死、降低并发症发生率,值得临床推广使用.
目的 探討Donati-Allgower縫閤法在跟骨骨摺手術切口縫閤時的臨床效果.方法 選擇2011年4月~2013年4月63例跟骨骨摺患者,隨機採用DA縫閤法及垂直褥式縫閤法行切口一期閉閤.DA縫閤法(A組)31例,垂直褥式縫閤法32例(B組),觀察術後至術後1箇月切口週圍情況.觀察指標包括療效、皮緣血運、腫脹、感染、壞死等愈閤相關臨床指徵.結果 A組臨床療效優良率為93.5%,B臨床療效優良率為87.5%,兩組比較差異併無統計學意義(x2=0.15,P>0.05).A組術後切口均穫甲級愈閤,2例齣現明顯皮緣缺血無壞死,無傷口感染等併髮癥髮生,B組7例切口皮緣齣現缺血錶現,後期愈閤良好,1例壞死、1例感染行其他治療.A組併髮癥髮生率(6.5%)明顯低于B組(28.1%)(P<0.05).結論 DA縫閤法在跟骨骨摺手術切口縫閤時,能保護皮緣血運、避免組織缺血壞死、降低併髮癥髮生率,值得臨床推廣使用.
목적 탐토Donati-Allgower봉합법재근골골절수술절구봉합시적림상효과.방법 선택2011년4월~2013년4월63례근골골절환자,수궤채용DA봉합법급수직욕식봉합법행절구일기폐합.DA봉합법(A조)31례,수직욕식봉합법32례(B조),관찰술후지술후1개월절구주위정황.관찰지표포괄료효、피연혈운、종창、감염、배사등유합상관림상지정.결과 A조림상료효우량솔위93.5%,B림상료효우량솔위87.5%,량조비교차이병무통계학의의(x2=0.15,P>0.05).A조술후절구균획갑급유합,2례출현명현피연결혈무배사,무상구감염등병발증발생,B조7례절구피연출현결혈표현,후기유합량호,1례배사、1례감염행기타치료.A조병발증발생솔(6.5%)명현저우B조(28.1%)(P<0.05).결론 DA봉합법재근골골절수술절구봉합시,능보호피연혈운、피면조직결혈배사、강저병발증발생솔,치득림상추엄사용.
Objective To investigate the clinical effect of Donati-Allgower method in suturing of calcaneal fractures incision.Methods 63 cases of calcaneal fracture patients from 2011 April to 2013 April were selected, they were treated with lateral calcaneal skin "L" shaped incision and randomly used DA suture and vertical mattress suture. And circumstances around the incision in 31 cases with DA suture (A group), 32 cases with vertical mattress suture (group B) were observed after 1 month after surgery, the outcome measures were observed, included effect, blood supply in the skin flap, swelling, infection, necrosis and other union-related clinical indications.Results The good and excellent rate of group A was 93.5%, and group B was 87.5%, the difference was not statistically significant (x2=0.15,P>0.05). Group A were healed well, 2 cases were mild swelling, there was no significant skin flap ischemia and necrosis, and no wound infection occurred. However, 4 cases in the Group B had ischemic performance in the skin flap, late healed well,1 case of necrosis and 1 case of infection in the line other treatment. The complication rate of group A (6.5%) was significantly lower than group B (28.1%) (P<0.05).Conclusion DA suture incision in calcaneal fractures, could protect blood supply in the skin flap, prevent tissue necrosis, and reduce the incidence of complications. So it is worthy of clinical use.
