单侧外固定支架结合负压封闭引流技术治疗胫腓骨GustiloⅢ型骨折效果探讨.docVIP

单侧外固定支架结合负压封闭引流技术治疗胫腓骨GustiloⅢ型骨折效果探讨 　　摘要：目的 探讨单侧外固定支架结合负压封闭引流技术治疗胫腓骨Gustilo III型骨折临床应用效果。方法 90例胫腓骨Gustilo III型骨折，男52例、女38例，平均（48.72±2.16）岁，随机分成两组，每组45例，研究组给予单侧外固定支架结合负压封闭引流手术治疗，对照组给予外固定支架联合修复手术治疗。根据对骨折愈合时间、骨折感染例数、组织创面愈合时间、住院时间等4个方面进行疗效评估。结果 患者均获随访，随访时间12个月，平均8个月。骨折均达临床愈合，研究组：骨折愈合时间（4.92±1.24）月、钉到感染数1例、创面愈合时间（8.92±1.24）d、住院时间（17.86±2.46）天对照组：骨折愈合时间（5.12±1.24）月骨折感染数（4例）、创面愈合时间（17.83±2.25）d、住院时间（30.62±4.33）d，创面愈合时间以及住院天数均显著少于对照组（P0.05），术后骨折感染明显低于对照组，骨折愈合时间无统计学差异。结论 外固定支架结合负压封闭引流技术治疗胫腓骨Gustilo III型骨折患者接受单侧可获得较为理想的临床治疗效果，值得临床推广。 　　关键词：胫腓骨Gustilo III型骨折；单侧外固定支架；负压封闭引流术；应用效果 　　Abstract：Objective To investigate the clinical effect of unilateral external fixation combined with vacuum sealing drainage in the treatment of III type Gustilo fracture of tibia and fibula.Methods There are 90 cases of tibia and fibula of Gustilo type III fractures（52 cases of male and 38 cases of female，mean age 48.72±2.16）were busy method into the research group and the experimental group，45 cases in each group.The study group was treated with unilateral external fixator combined with negative pressure closed drainage，and the control group was treated with external fixator combined with surgical treatment.According to the 4 aspects of the fracture healing time，number of fractures infection cases，wound healing time and the hospital stay to assess the effectiveness of treatment.Results All the patients were followed up for 12 months，with an average of 8 months.All fractures achieved clinical union.The study group：fracture healing time（4.92±1.24）months，wound healing time（8.92±1.24）days，length of stay（17.86±2.46）days，1 cases of fractures infection were included in these cases.The control group：fracture healing time（5.12±1.24）months，wound healing time（17.83±2.25）days，length of stay（30.62±4.33）days，and there are 4 cases of fractures infection.The wound healing time and hospital stay and post operative infection ratein the study group were significantly less than that in control group（P0.05）ther