标题:
真空负压封闭引流结合外固定支架治疗小腿骨折并骨筋膜室综合征21例疗效观察The Effective of 21 Lower Leg Fracture with Osteofascial Compartment Syndrome Treated by Vacuum Sealing Drainage
Combined with External Fixation
作者:
管孟芹, 赵刚, 贺鹏, 王棚
关键字:
真空负压封闭引流, 外固定支架, 小腿骨折, 骨筋膜室综合征Vacuum Sealing Drainage, External Fixation, Fracture of Lower Leg, Osteofascial Compartment Syndrome
期刊名称:
《Hans Journal of Surgery》, Vol.3 No.3, 2014-07-21
摘要:
目的：探讨负压封闭引流结合外固定支架治疗小腿骨折并骨筋膜室综合征的临床疗效。方法：36例小腿骨折并骨筋膜室综合征患者，行筋膜室切开减压，骨折行有限内固定并外固定支架固定，创面随机分为负压组和纱布换药组，21例创面行负压封闭引流技术处理，15例行无菌纱布棉垫包扎，肿胀消退后创面直接缝合或者行植皮术，术后观察创面引流量及创面愈合时间，通过随访按照Johner-Wruhs胫骨干疗效评价标准评定小腿功能恢复情况。结果：患者经过7月~3年随访(平均18.2月)，术后平均引流量纱布换药组约180.5 ml，负压组约240.2 ml (P Objective:
To investigate the clinical efficacy of vacuum sealing drainage combined with
external fixation in the treatment of lower leg fracture and osteofascial
compartment syndrome. Method: 36 patients of
lower leg fracture with osteofascial compartment syndrome, all osteofascial compart- ment open decompression, fractures were
treated with limited internal fixation and external fixation. Wounds
were divided into Vacuum sealing drainage group and gauze dressing group randomly. 21 patients with vacuum sealing drainage technique and 15 patients dressed
with sterile gauze pad, give wound suture or skin grafting after the
swelling subsids and postoperative wound drainage
and healing time are observed. The patients were followed-up according to Johner-Wruhs
tibial curative effect evaluation standard of lower leg function recovery.
Results: All patients were followed by 7 months to 3 years (average 18.2
months). The average postoperative drainage gauze group was about 180.5 ml, vacuum
sealing drainage group was about 240.2 ml (P