异体皮在骨筋膜室综合征切开减张切口的临床应用

目的观察同种异体皮覆盖骨筋膜室综合征减张伤口的治疗效果。方法选择46例小腿骨折合并骨筋膜室综合征患者,将其分为实验组和对照组,试验组减张切口内层用同种异体皮覆盖,对照组用凡士林油纱,外层均用脱脂棉纱布覆盖,术后观察两组患者换药疼痛分值、换药次数、局部渗液量及伤口愈合时间。结果实验组换药时疼痛程度明显低于对照组(P<0.01),试验组换药次数及局部渗液量明显少于对照组(P<0.01),但其伤口愈合时间两组比较差异无统计学意义(P>0.05)。结论骨筋膜室综合征减张伤口使用同种异体皮覆盖,能够起到减轻痛苦、减少换药次数及局部渗液量的效果。

Objective To observe the therapeutic efficacy of the low temperature deposited allogeneic skin for the cut of the compartment syndrome. Methods 46 patients who suffered from the fracture of limb or electrical injuries with the complication of compartment syndrome were elected, they were divided into experimental group and control group, the experimental group was covered with the low temperature deposited allogeneic for the cut of the open decompression, the control group was covered with petrolatum gauze. The analgesic effect, amount of change dressings, local effusion and wound healing time were observed after operation. Results The pain value, amount of change dressings and local exudation of the experimental group had significant decrease when compared with the control group （P〈0.01）, but no significant difference in the wound healing time. Conclusion The application of the allogeneic skin for the cut of the compartment syndrome can reduce the pain degree of the change dressings, amount of change dressings, local effusion and then reduce local protein loss.