宽窄交替减张缝合对跟骨骨折术后切口愈合的影响

Effect of wide and narrow alternate tension suture on the incision healing postoperative calcaneal fracture

目的分析宽窄交替减张缝合对跟骨骨折患者术后切口愈合的影响。方法选择2013年5月~2016年10月在我院行切开复位钢板内固定术治疗的73例跟骨骨折患者作为研究对象,应用随机抽签法将其分为两组,其中对照组(n=37)采用单纯间断分层缝合法缝合切口,而观察组(n=36)则应用宽窄交替减张缝合法,对比两组患者切口愈合情况。结果观察组足部功能恢复优良率为94.44%、对照组为89.19%,组间差异不明显(P>0.05);观察组中切口甲级愈合率达到97.22%,明显优于对照组的78.38%(P<0.05);观察组相关切口并发症发生率为2.78%,低于对照组的21.62%,差异具有统计学意义(P<0.05)。结论在切开复位钢板内固定术治疗跟骨骨折过程中,采用宽窄交替减张缝合法缝合切口能够有效促进切口的愈合,减少相关并发症发生,利于患者早日恢复。

Objective To explore the effect of wide and narrow alternate tension suture on the incision healing postoperative calcaneal fracture. Methods 73 patients with calcaneal fracture who underwent open reduction and internal fixation in our hospital from May 2013 to October 2016, were selected as the research object and divided into 2 groups by random drawing method. The control group（n=37） was treated by simple interrupted suture suture, while the observation group（n=36） was treated with wide alternating alternate tension suture. The wound healing was compared between the two groups. Results The good rate of foot function recovery was 94.44% in the observation group and 89.19% in the control group, and the difference between two groups was not obvious（P〉0.05）. The rate of wound healing in the observation group was 97.22%, which was obviously better than that of the control group in 78.38%（P〈0.05）. The incidence of complications associated with incision in the observation group was 2.78%, which was lower than control group（21.62%）, and the difference was statistically significant（P〈0.05）. Conclusion During the treatment of open reduction and internal fixation with calcaneal fractures, the wide and narrow alternate tension suture can effectively promote the healing of incision, and reduce the incidence of complications. It is beneficial to the recovery of the patient at an early date.