封闭负压吸引在下肢骨折术后钢板外露并感染中的应用

Application of closed suction in plate exposure complicated with infections after lower extremity fracture surgery

目的探讨封闭负压吸引在下肢骨折术后钢板外露并感染中的应用,为临床防治骨折术后感染提供依据。方法收集2010年7月-2012年7月在医院接受下肢骨折术后出现钢板外露合并感染治疗的患者24例,采用封闭负压吸引治疗,作为观察组;选取同一时期采用常规治疗的患者24例,作为对照组;比较治疗结束后两组患者的创面闭合时间、住院时间及治愈率。结果观察组患者创面闭合时间为(22.31±4.32)d、住院时间为(28.01±3.27)d,明显短于对照组(26.61±5.03)d、(34.27±4.62)d;观察组患者愈合率为91.67%,明显优于对照组50.00%,差异均有统计学意义(P<0.05)。结论封闭负压吸引治疗下肢骨折患者术后钢板外露合并感染中具有良好的临床疗效,缩短患者恢复时间和住院时间,并提高了愈合率,值得临床推广。

OBJECTIVE To analyze the application of closed suction in the plate exposure complicated with infections after lower extremity fracture surgery so as to provide basis for the clinical prevention and treatment of the infections after the fracture surgery. METHODS A total of 24 patients, to whom the plate exposure complicat-ed with infections occurred after undergoing the lower extremity surgery from Jul 2010 to Jul 2012, were enrolled in the study. The observation group was treated with the closed suction, as the same period 24 cases who were treated with the routine approach were set as the control group. The wound healing time, hospitalization duration , and healing rate after the treatment were compared between the two groups. RESULTS The wound healing time of the observation group was（22. 31 ±4. 32）days, significantly shorter than（26. 61 ± 5. 03）days of the control group; the hospitalization duration of the observation group was（28.01±3.27） days, significantly shorter than （34.27±4. 62）days of the control group; the healing rate of the observation group was 91.67%, significantly higher than 50.00% of the control group, the difference was statistically significant （P〈0.05）. CONCLUSION The closed suction can achieve good clinical efficacy in the treatment of the plate exposure complicated with infec-tions in the patients undergoing lower extremity fracture surgery, shortening the recovery time as well as the hos-pital stay, and improving the healing rate, which is worthy to be promoted in the hospital.