负压封闭引流术治疗四肢骨折合并严重软组织损伤63例临床观察

Clinical observation of 63 cases of closed negative pressure drainage in the treatment of serious soft tissue injury with limb fractures

目的:观察负压封闭引流术治疗四肢骨折合并严重软组织损伤的临床疗效。方法:收治四肢骨折合并严重软组织损伤患者63例,按入院时间将实施负压封闭引流术(VSD)治疗的四肢骨折合并严重软组织损伤无法行一期缝合术的33例患者作为观察组,未实施VSD治疗之前,常规换药放置引流条以纱布包扎治疗的30例患者作为对照组,治疗3周后,统计两组患者的临床疗效。结果:观察组总治愈率(96.97%)明显高于对照组总治愈率(66.67%),两组差异显著,有统计学意义(P<0.05)。结论:利用负压封闭引流操作治疗四肢骨折合并严重软组织损伤换药次数减少,愈合时间缩短,疗效显著、简便易行。

Objective:To explore the clinical curative effect of closed negative pressure drainage in the treatment of serious soft tissue injury with limb fractures.Methods:We selected 63 cases of limb fractures in patients with severe soft tissue injury in 2013 January to November.According to the time of admission,33 cases of limb fractures associated with severe soft tissue injury treated with closed negative pressure drainage,who can not performed one stage suture,were divided into observation group.Before the implementation of VSD treatment,30 patients treated with conventional dressing,placing drainage strip and gauze bandage were divided into control group.3 weeks after the treatment,the clinical efficacy of the two groups were compared.Results:In experimental group,the total cure rate(96.97%)was significantly higher than the control group(66.67%).The difference between the two groups was significant with statistical significance(P<0.05).Conclusion:Dressing change times of limb fractures patients with severe soft tissue injury treated with closed negative pressure drainage is reduced,the healing time is shortened,curative effect is remarkable and simple.It is worth widely carried out in the basic medical institutions.