發(fā)布時(shí)間：2018-10-15 11:30

【摘要】：目的：比較真空負(fù)壓吸引技術(shù)與綁鞋帶技術(shù)在治療小腿骨筋膜間室綜合征切開減張切口的療效。方法：將36例小腿骨筋膜室綜合征患者患者(46個(gè)減張切口)隨機(jī)分為負(fù)壓吸引組和綁鞋帶組,每組各23個(gè)減張切口,負(fù)壓吸引組骨折復(fù)位后外固定架固定,切開減張后即行負(fù)壓封閉引流治療；綁鞋帶組骨折患者復(fù)位后外固定架固定,切開減張治療后創(chuàng)面敷貼負(fù)壓封閉吸引材料-聚乙烯乙醇水化海藻鹽泡沫,皮緣用皮膚吻合器作扣環(huán)采用硅橡膠袢充當(dāng)縛帶采用切口綁鞋帶治療技術(shù)。治療后1個(gè)月比較兩組患者切口大小、切口完全閉合切口所需時(shí)間、感染情況、需進(jìn)一步干預(yù)的需求、日常治療費(fèi)用等情況。結(jié)果：綁鞋帶組切口閉合所需時(shí)間顯著優(yōu)于負(fù)壓吸引組((p0.05)。負(fù)壓吸引組中有8個(gè)減張切口需行進(jìn)一步植皮,綁鞋帶組無需行植皮。綁鞋帶組中5個(gè)減張切口需要更換硅橡膠袢。兩組中創(chuàng)面感染率比較差異無顯著性意義,也均未出現(xiàn)治療后筋膜間室壓力增高及皮緣壞死等現(xiàn)象。結(jié)論：真空負(fù)壓吸引技術(shù)和綁鞋帶技術(shù)均為治療小腿骨筋膜間室綜合征切開減張切口安全、有效的治療技術(shù),其療效可靠,已被臨床使用。與真空負(fù)壓吸引技術(shù)相比,綁鞋帶技術(shù)傷口閉合時(shí)間短、創(chuàng)傷小、療效更優(yōu)。
[Abstract]:Objective: to compare the effect of vacuum suction technique and shoelace binding technique in the treatment of leg osteofascial compartment syndrome incision and tension reduction incision. Methods: Thirty-six patients with osteofascial compartment syndrome (OCS) were randomly divided into negative pressure suction group and shoelace binding group. The patients in the shoelace group were treated with negative pressure closure and drainage, and the patients in the shoelace group were treated with external fixator after reduction, and the wounds were treated with negative pressure sealing and draining material (polyethylene ethanol-hydrated trehalate foam) after incision and tension reduction. Using skin stapler as clasp, silicone rubber loop is used as strapping band. One month after treatment, the size of incision, the time of complete closure of incision, the infection, the need for further intervention, the cost of daily treatment and so on were compared between the two groups. Results: the time of incision closure in shoelace group was significantly longer than that in negative pressure suction group (p 0.05). In the negative pressure suction group, 8 tension reduction incisions need further skin grafting, while in the shoelace group there is no need for skin graft. In the shoelace group, five tension-reducing incisions need to be replaced with silicone rubber loops. There was no significant difference in wound infection rate between the two groups and there were no signs of increased interfascial ventricular pressure and skin edge necrosis after treatment. Conclusion: vacuum suction technique and shoelace binding technique are safe and effective in the treatment of osseous interfascial compartment syndrome incision and tension reduction incision. Compared with vacuum suction technique, shoelace technique has shorter wound closure time, less trauma and better curative effect.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R658.3
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本文編號(hào)：2272415