中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
20期
41-41,43
,共2页
负压封闭引流%灌洗引流%慢性骨髓炎%疗效
負壓封閉引流%灌洗引流%慢性骨髓炎%療效
부압봉폐인류%관세인류%만성골수염%료효
Vacuum sealing drainage%Lavage drainage%Chronic osteomyelitis%Curative effect
目的：比较负压封闭引流术(VSD)与灌洗引流术(CCD)在治疗慢性骨髓炎中的近期疗效。方法：收治慢性骨髓炎患者40例，经彻底清创后分别给予VSD(20例)和CCD(20例)治疗，比较分泌物细菌培养转阴时间、冲洗时间、伤口愈合时间、住院时间，观察两组疗效。结果：40例患者伤口均临床愈合出院。治疗期间分泌物细菌培养转阴时间、冲洗时间、伤口愈合时间、住院时间、优良率、复发率，两组间比较差异有统计学意义(P＜0.05)，VSD 优于 CCD。结论：在治疗慢性骨髓炎彻底清创后，与灌洗引流术相比，VSD能显著防控创面的感染、减少抗生素用量、改善局部血运、减轻局部水肿、促进创面肉芽组织生长，利于创面修复，缩短病程，提高慢性骨髓炎的治愈率，降低复发率。
目的：比較負壓封閉引流術(VSD)與灌洗引流術(CCD)在治療慢性骨髓炎中的近期療效。方法：收治慢性骨髓炎患者40例，經徹底清創後分彆給予VSD(20例)和CCD(20例)治療，比較分泌物細菌培養轉陰時間、遲洗時間、傷口愈閤時間、住院時間，觀察兩組療效。結果：40例患者傷口均臨床愈閤齣院。治療期間分泌物細菌培養轉陰時間、遲洗時間、傷口愈閤時間、住院時間、優良率、複髮率，兩組間比較差異有統計學意義(P＜0.05)，VSD 優于 CCD。結論：在治療慢性骨髓炎徹底清創後，與灌洗引流術相比，VSD能顯著防控創麵的感染、減少抗生素用量、改善跼部血運、減輕跼部水腫、促進創麵肉芽組織生長，利于創麵脩複，縮短病程，提高慢性骨髓炎的治愈率，降低複髮率。
목적：비교부압봉폐인류술(VSD)여관세인류술(CCD)재치료만성골수염중적근기료효。방법：수치만성골수염환자40례，경철저청창후분별급여VSD(20례)화CCD(20례)치료，비교분비물세균배양전음시간、충세시간、상구유합시간、주원시간，관찰량조료효。결과：40례환자상구균림상유합출원。치료기간분비물세균배양전음시간、충세시간、상구유합시간、주원시간、우량솔、복발솔，량조간비교차이유통계학의의(P＜0.05)，VSD 우우 CCD。결론：재치료만성골수염철저청창후，여관세인류술상비，VSD능현저방공창면적감염、감소항생소용량、개선국부혈운、감경국부수종、촉진창면육아조직생장，리우창면수복，축단병정，제고만성골수염적치유솔，강저복발솔。
Objective:To compare the recent curative effect of vacuum sealing drainage(VSD) and lavage drainage(CCD) in the treatment of chronic osteomyelitis.Methods:40 cases with chronic osteomyelitis were selected.After radical debridement,they were given VSD(20 cases) and CCD(20 cases) treatment.We compared the conversion time of bacterial culture for secretion,washing time,wound healing time,hospitalization time,and observed the effect of the two groups.Results:40 cases with wounds were healed and discharged.In the conversion time of bacterial culture for secretion,the flushing time,wound healing time,hospitalization time, the excellent and good rate,recurrence rate,VSD was better than CCD.The difference was statistically significant(P<0.05). Conclusion:In the treatment of chronic osteomyelitis,after radical debridement,compared with lavage drainage,VSD could significantly control wound infection,reduce antibiotic usage,improve local blood circulation reduce local edema,promote the growth of granulation tissue,be conducive to wound healing,shorten the course of disease,improve the cure rate of chronic osteomyelitis,and reduce the recurrence rate.
