负压引流与皮片引流对跟骨骨折手术切口愈合的影响

Comparison of the Influence of Negative Pressure Drainage and Skin Incision Drainage on the Incision Healing of Calcaneal Fracture

目的对比分析负压引流与皮片引流对跟骨骨折手术切口愈合的影响.方法选取中国医科大学附属四院收治的98例跟骨骨折手术患者作为研究对象,使用随机数字表法,将其分为A、B组,各49例,B组进行皮片引流,A组进行负压引流,比较2组患者的引流量、并发症发生率、切口愈合时间等.结果 A组患者的切口干燥时间、切口愈合时间均显著短于B组,P<0.05,差异有统计学意义;A组患者的引流物放置时间明显长于B组,引流量明显多于B组,P<0.05,差异均有统计学意义.术后,A组仅有1例发生切口开裂,并发症发生率为2.04%,B组共有13例发生并发症,并发症发生率为26.53%,其中切口皮肤开裂8例,切口感染5例.A组患者的并发症发生率显著低于B组,χ2=24.491,P<0.05,差异具有统计学意义.结论与皮片引流相比,负压引流的引流量更多,切口并发症发生率更低,切口愈合更快,临床应用优势显著,值得推广应用.

Objective To analyze the influence of negative pressure drainage and skin incision drainage on the incision healing of calcaneal fracture.Methods We selected 98 cases of our hospital patients with calcaneal fractures surgery as the research object,randomly divided them into two groups：A and B group,49 cases in each group.Flap drainage was used in group B, and negative pressure drainage was used in group A.Then we compared the drainage volume, complications, and the incision healing time of patients between two groups.Results The drying time of incision and incision healing time in group A were significantly shorter than group B（P〈0.05）.The drainage time in group A was significantly longer than group B,and the drainage volume was also significantly more than group B（P〈0.05）.The blood transfusion amount,recycled and length of hospital stay in group A was better than group B（P〈0.05）.Postoperative,there was only 1 case of incision dehiscence in group A,the incidence of complications was 2.04%,there were 13 cases of complications in B group,the incidence of complications was 26.53%, among them there were 8 cases of skin incision dehiscence and 5 cases of infection of incision.The complication rate in A group was significantly lower than that of group B（P 0.05）.Conclusion Compared with flap drainage,the drainage volume is more,the incidence of incision complications is lower,and the incision healing is faster in negative pressure drainage.Therefore, negative pressure drainage has significant advantages in clinical application, and is worthy of popularization and application.