胫骨开放性骨折骨外露感染的治疗研究

Study on treatment of exposed bone accompanied with infection in open tibial fracture

目的探讨皮瓣转移和灌洗治疗胫骨开放性骨折骨外露伴感染临床效果,以期提高临床治疗水平。方法选取2010年1月-2013年4月90例胫骨开放性骨折骨外露伴感染患者为研究对象,根据治疗方法分成两组,对照组45例予以皮瓣转移并烤灯持续照射,观察组45例采用皮瓣转移并灌洗治疗,比较两组治疗的临床效果,采用SPSS13.0软件进行分析。结果两组在创面愈合时间(>35d除外)、住院天数、治疗费用、生活质量评分、细菌消除时间、皮瓣成活时间、满意度、依从性比较差异有均统计学意义(P<0.05);而VAS评分比较差异无统计学意义;并发症发生率对照组为28.89%、观察组为4.44%,两组比较差异有统计学意义(P<0.05)。结论皮瓣转移和灌洗治疗胫骨开放性骨折骨外露伴感染临床效果满意。

OBJECTIVE To investigate clinical results of the flap and lavage treatment of exposed bone accompanied with infection in open tibial fracture ,in order to improve the level of clinical treatment .METHODS A total of 90 patients with exposed bone accompanied with infection in open tibial fracture from Jan .2010 to Apr .2013 were selected for the study ,and divided into two groups ,including the control group of 45 patients who received flap transfer and continuous exposure to light ,and the observation group of 45 patients who received flap transfer and lavage .The clinical outcomes were compared after treatment .The data were analyzed using the software SPSS 13 .0 .RESULTS There were significant differences in the wound healing time （except for ＆gt;35 d） ,length of stay , cost of treatment ,quality of life scores ,bacterial elimination time ,flap survival time ,satisfaction ,and compliance between the two groups （P＆lt;0 .05）;while the difference in the VAS score had no statistical significance （P＆gt;0 .05）;the overall incidence of complications in the control group was 28 .89% compared to 4 .44% in the observa-tion group ,with significant differences （P＆lt;0 .05） .CONCLUSION The clinical results of flap transfer and lavage treatment of exposed bone accompanied with infection in open tibial fracture were satisfactory .