临床医学工程
臨床醫學工程
림상의학공정
Clinical Medical & Engineering
2015年
11期
1407-1409
,共3页
VSD%外固定支架%下肢开放性骨折%软组织缺损
VSD%外固定支架%下肢開放性骨摺%軟組織缺損
VSD%외고정지가%하지개방성골절%연조직결손
VSD%External fixator%Open fracture of lower limb%Soft tissue defect
目的 探讨分析VSD联合外固定支架用于治疗下肢开放性骨折合并软组织缺损的临床效果. 方法 选取我院在2012年3月至2014年6月期间收治的下肢开放性骨折合并软组织缺损患者62例作为研究对象. 将所有患者进行随机分组, 每组各31例, 均在8小时内彻底清创修复软组织, 试验组患者采用VSD联合外固定支架治疗, 对照组患者采用外固定支架及常规二期换药治疗. 对所有患者进行术后随访, 记录并比较两组患者术后Neer评分情况及其出现骨感染、 软组织感染、 骨组织和软组织二者同时发生感染等并发症的情况, 综合比较两组的临床效果. 结果 试验组患者术后半年下肢骨Neer评分情况明显优于对照组(P<0.05), 其手术治疗显效率 (58.06%) 及总有效率 (90.32%) 明显高于对照组患者 (22.58%、 61.29%), 且试验组患者术后半年出现骨感染、 软组织感染、 骨组织和软组织二者同时发生感染等并发症的发生率 (3.23%、 0.00%、 3.23%) 均明显低于对照组患者 (29.03%、 25.81%、 32.26%), 差异均具有统计学意义 (P<0.05). 结论 VSD联合外固定支架用于治疗下肢开放性骨折合并软组织缺损并发症少见, 较常规外固定支架分期治疗操作简便, 临床效果显著, 且其术后Neer评分情况良好, 能在一定程度上缩短患者病程, 对于改善患者的负重情况和生活质量具有积极意义.
目的 探討分析VSD聯閤外固定支架用于治療下肢開放性骨摺閤併軟組織缺損的臨床效果. 方法 選取我院在2012年3月至2014年6月期間收治的下肢開放性骨摺閤併軟組織缺損患者62例作為研究對象. 將所有患者進行隨機分組, 每組各31例, 均在8小時內徹底清創脩複軟組織, 試驗組患者採用VSD聯閤外固定支架治療, 對照組患者採用外固定支架及常規二期換藥治療. 對所有患者進行術後隨訪, 記錄併比較兩組患者術後Neer評分情況及其齣現骨感染、 軟組織感染、 骨組織和軟組織二者同時髮生感染等併髮癥的情況, 綜閤比較兩組的臨床效果. 結果 試驗組患者術後半年下肢骨Neer評分情況明顯優于對照組(P<0.05), 其手術治療顯效率 (58.06%) 及總有效率 (90.32%) 明顯高于對照組患者 (22.58%、 61.29%), 且試驗組患者術後半年齣現骨感染、 軟組織感染、 骨組織和軟組織二者同時髮生感染等併髮癥的髮生率 (3.23%、 0.00%、 3.23%) 均明顯低于對照組患者 (29.03%、 25.81%、 32.26%), 差異均具有統計學意義 (P<0.05). 結論 VSD聯閤外固定支架用于治療下肢開放性骨摺閤併軟組織缺損併髮癥少見, 較常規外固定支架分期治療操作簡便, 臨床效果顯著, 且其術後Neer評分情況良好, 能在一定程度上縮短患者病程, 對于改善患者的負重情況和生活質量具有積極意義.
목적 탐토분석VSD연합외고정지가용우치료하지개방성골절합병연조직결손적림상효과. 방법 선취아원재2012년3월지2014년6월기간수치적하지개방성골절합병연조직결손환자62례작위연구대상. 장소유환자진행수궤분조, 매조각31례, 균재8소시내철저청창수복연조직, 시험조환자채용VSD연합외고정지가치료, 대조조환자채용외고정지가급상규이기환약치료. 대소유환자진행술후수방, 기록병비교량조환자술후Neer평분정황급기출현골감염、 연조직감염、 골조직화연조직이자동시발생감염등병발증적정황, 종합비교량조적림상효과. 결과 시험조환자술후반년하지골Neer평분정황명현우우대조조(P<0.05), 기수술치료현효솔 (58.06%) 급총유효솔 (90.32%) 명현고우대조조환자 (22.58%、 61.29%), 차시험조환자술후반년출현골감염、 연조직감염、 골조직화연조직이자동시발생감염등병발증적발생솔 (3.23%、 0.00%、 3.23%) 균명현저우대조조환자 (29.03%、 25.81%、 32.26%), 차이균구유통계학의의 (P<0.05). 결론 VSD연합외고정지가용우치료하지개방성골절합병연조직결손병발증소견, 교상규외고정지가분기치료조작간편, 림상효과현저, 차기술후Neer평분정황량호, 능재일정정도상축단환자병정, 대우개선환자적부중정황화생활질량구유적겁의의.
Objective To explore and analyze the clinical effect of VSD combined with external fixator for the treatment of lower limb open fracture complicated with soft tissue defect. Methods 62 cases of patients with lower limb open fracture complicated with soft tissue defect admitted to our hospital from March 2012 to June 2014 were selected as research objects, and randomly divided into two groups, with 31 cases in each group. All patients received debridement and repaire of soft tissue within 8 hours. The experimental group was treated with VSD combined with external fixator, while the control group was treated with external fixator and conventional 2-stage dressing change. All patients received postoperative follow-up. The postoperative Neer scores and incidence of bone infection, soft tissue infection, and bone infection complicated with soft tissue infection were recorded and compared. The clinical effects of the two groups were evaluated. Results Neer scores of lower limb 6 months after surgery of the experimental group were significantly better than those of the control group (P <0.05). The significantly effective rate and total effective rate of the experimental group were 58.06% and 90.32% respectively, significantly higher than 22.58%and 61.29%of the control group (both P<0.05). The incidence of bone infection, soft tissue infection, and bone infection complicated with soft tissue infection of the experimental group was 3.23%, 0.00%and 3.23%, respectively, significantly lower than 29.03%, 25.81%and 32.26%of the control group (all P<0.05). Conclusions VSD combined with external fixator has significant clinical effect for the treatment of lower limb open fracture complicated with soft tissue defect, with the advantages of easy operation, fewer complications and good postoperative Neer score, which can shorten the course of disease, and has positive significance in improving patients' weight loading and quality of life.
