负压封闭引流术治疗四肢骨折合并严重软组织损伤63例临床观察.pdfVIP

CHINESE COMMUNITY DOCTORS 论著·临床论坛 负压封闭引流术治疗四肢骨折合并严重软组织损伤63例临床观察 霍强 056拥3五矿部邢矿业有限公司玉石洼铁矿职工医院(河北嘟嘟) doi: 1O.3969/j.issn.l∞7-614x.2014.8.26 摘要 目的:观察负盈封闭~Ii克术治疗四肢骨折合并严重款组织损伤的临床疗效。方法:收治四肢骨折合并严重款 组织损伤患者63例，按入院时间将实施负压封闭引流术(VSD)治疗的四肢骨折合并严重软组织损伤无法行一期缝合术 的331列患者作为观察组，末实施.VSD 治疗之前，常规，换药放置引流条以纱布包扎治疗的30例患者作为对照组，治疗 3周后，统计两组患者的临床疗效。结果:观察组总治愈牟(96.97%) 明显高于对照纽总治愈率(66.67%) ，两组差异显 著，有统计学意义(P0.05)。结论:利用负压封闭~Ii在操作治疗四肢骨折合并严重软组织损伤换药次数减少，愈合时 间缩短，疗效显著、简便易行。 关键调 回肢骨折合并严重软组织损伤 负压封闭引流水临床疗效 αnicaI observation of 臼饵础。fdωedD唔ative p réSSUre drainage in the 往回.tment of serious 皿1ft tissue injury with limbfrac伽res HuoQiang The Yusmwa iron mine worker hospital ofMinmetals HanXing Mining Co,Ltd of(H四dan Ci;吃r ofHebei Province),D56303 Abstract Objective:To explore the clinical curative efIect of closed ne伊.tive pressure 世ainage in 也.e tr回恤ent of seri。因 ω，[t tissue injury wi由 limb fractures.Methods:We selected 63 cas筒。f limb fractures in patients with severe 胁1ft tissue injury in 2013 Janua巧协November.According 切由e time of admission，33 回能量。flimb fr勘阳resωsωiated wi也severe 80ft tissue injury treated wi也 closed negative pressure drainage,who can not perfonned one stage suture，wer唱出世ded into observation group.Before 由e implementation of VSD 恤a恤.ent，30 patients tr回t咄咄由 conventional 世臼si吨，placing drainage strip and gauze ban也ge were di说ded into control group.3 weeks after the 田且皿ent，也e clinical effiωcy of 由e two grou严 were com归red.Results:In experimen时group，也eω时cure rate(96.97% )was significantly higher 也an the con田，1 group(66.67%).The difIerence between the twogroups wωsignificant wi也 statistical sign迫ωnce(P O.05).Conclusion:Dressing change times of limb fractur阴阳tÏents 明白 severe soft tissue injury treated wi也 closed negative pressure 也四inage is reduced ,the healing time is sho血ned，curati