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负压引流技术治疗GustiloⅢ型胫骨开放骨折的临床观察
曲 野1,2
1.(1)中南大学湘雅二医院骨一科,湖南 长沙 410011;2.2)四川大学华西医院骨科,四川 成都 610041)
摘要:
[摘要]目的 比较负压引流技术(vacuum sealing drainage, VSD)和传统换药方法治疗GustiloⅢ型胫骨开放骨折的临床效果.方法 将78例GustiloⅢ型胫骨开放骨折患者分为观察组和对照组,观察组43例,采用负压引流技术治疗,对照组35例,采用传统换药方法治疗;比较2组患者手术及恢复情况、临床疗效以及不良反应发生率.结果 2组患者住院时间、创面恢复时间以及骨折愈合时间比较,观察组均显著小于对照组,差异具有显著性(P<0.05);观察组治疗优良率为83.72%,显著高于对照组65.71%,差异有统计学意义(P<0.01).2组不良反应发生率比较,观察组为6.98%显著低于对照组17.14%(P<0.05).结论 负压引流技术治疗GustiloⅢ型胫骨开放骨折能够大大缩短患者创面恢复时间和骨折愈合时间、降低感染等不良反应发生率,疗效显著,值得临床推广应用.
关键词:  [关键词]胫骨开放性骨折  负压引流技术  GustiloⅢ型
DOI:
分类号:
基金项目:[基金项目]四川省科技厅科学技术计划项目(20144Z0709)
Clinical Observation on Vacuum Sealing Drainage for Open Tibial Fractures of Gustilo Grade-Ⅲ
QU Ye1,2
1.(1)Dept. of Orthopedics,Xiangya No. 2 Hospital of Central South University,Changsha Hunan 410011;2) Dept. of Orthopedics,West China Hospital of Sichuan University,Chengdu Sichuan 610041,China)
Abstract:
[Abstract]Objective To compare the clinical effect of vacuum sealing drainage and traditional methods on open tibial fractures of Gustilo grade-Ⅲ. Methods Seventy-eight patients with open tibial fractures of Gustilo grade-Ⅲ were divided into two groups, 43 patients in observation group were treated by vacuum sealing drainage, while 35 patients in control group were treated by traditional methods. The operative quality,postoperative recovery condition,clinical effect and rate of adverse reaction were analyzed between two groups.Results As for the hospital stays,healing time of wound and fracture, the observation group were significant shorter than control group (P<0.05). The excellent and good rate of observation group was 83.72%,which was significantly higher than that of control group 65.71%(P<0.01). The adverse reaction rate of observation group was 6.98%,which was significantly lower than that of control group 17.14% (P<0.05).Conclusions Vacuum sealing drainage used for treatment of open tibial fractures of Gustilo grade-Ⅲ can shorten wound and fracture healing time,reduce the incidence of adverse reaction and improve the clinical effect. It is worth of popularization and application.
Key words:  [Key words]Open tibial fractures  Vacuum sealing drainage  Gustilo grade-Ⅲ