改良可灌洗持续负压引流术治疗胫骨骨髓炎伴软组织缺损的临床疗效观察.pdfVIP

.1154. 现代医药卫生 2013年4月 30 日 第29卷第8 期 J Mod Med Health ,April 30 ,2013 ,Vo 1.29 ,No.8 ·论著· 改良可灌洗持续负压引流术治疗腔骨骨髓炎伴软组织 缺损的临床疗效观察 李 舟，王业华，王鹏飞，徐峰(徐州医学院附属医院骨科，江苏徐州] 221∞0) [摘 要] 目的 探讨改良可灌洗持续负压封闭引流术(VSD) 治疗腔骨骨髓炎伴软组织缺才员的临床疗效。方法 将2∞7 年 6 月至 2012 年 6 月收治的 60 例腔骨骨髓炎伴软组织缺损患者随机分组，28 例采用改良可灌洗持续 VSD(观 察组) ， 32 例采用普通持续 VSD(对照纽)，分别于术后 4 周比较两组临床疗效。结果 观察组临床疗效明显优于对照纽， 差异有统计学意义(P0.05) 。结论 改良可灌洗持续 VSD 可显著改善骨科创伤感染患者预后，降低感染率，加速创面 愈合。 [关键词] 腔骨; 骨髓炎/治疗; 软组织损伤/治疗; 灌洗; 引流术; 治疗结果 doi: 1O.3969/j.issn.l∞9-5519.2013.08.015 文献标识码:A 文章编号: 1009-5519(2013)08-1154-02 Clinical etTect observation of moditied vacuum seaIing drainage lavage in trea岱ng tibia osteomyelitis complicating soft tissue defect Li 岛础， Wang Yehua , Wang Pengfei ,Xu Zheng(Dep耐阳nt olOrthopedics ,AffiliaJed Hospit a1 ,Xuzhou Medic a1 College ,Xuzhou ,]iangsu 221侃)()， China) [Abstract] 0同ective To explore the clinical effect of the modified vacuum sealing drainage (VSD) lavage in treating tib- ia osteomyelitis complicating soft tissue defect. Methods 60 cases of tibia osteomyelitis complicating soft tissue defect treated in our department from June 2007 to June 2012 were randomly divided into 2 groups. 28 cases (observation group) were treated with the modified VSD lavage and 32 cases(contr咽1 group) were treated with common VSD. Then the clinical effects were compared between the two groups. Results 币le clinical efIect of the obervation gr咽up was obviously superior to the control group ,the diι ference between the two groups was statistically significant (P0.05). Conclusionηle modified VSD lavage can significantly improve the progrlOsis of the patients with bone trauma infection ,reduce the risk of infection and accelerate wound healing. [Key words] Tibia; Osteomyelitis/therapy; Soft tissue injuries/therapy; Irrigation; Drainage; Treatment outc