负压引流器在预防跟骨骨折术后切口不愈合中的作用

Effect of the negative pressure drainage device in the prevention of postoperative wound unhealed of calcaneal fracture

目的:探讨一次性外科负压引流器在预防跟骨骨折术后切口不愈合中的作用。方法:2007年12月-2013年12月收治跟骨骨折行切开复位钢板内固定术患者64例,作为研究对象,其中34例患者术后运用或未用橡皮引流(A组),30例患者运用一次性外科负压引流器(B组),将两组治疗后的AOFAS的踝-后足指数评分,切口并发症的发生率,切口愈合时间及患者的满意率进行统计及比较。结果:B组的AOFAS的踝-后足指数评分优于A组,切口并发症的发生率低,切口愈合时间短,患者满意率高,差异有统计学意义(P<0.05)。结论:一次性外科负压引流器可以大大降低跟骨骨折术后皮肤并发症的发生率,是一种经济有效的预防方法。

Objective:To explore the effect of disposable surgical negative pressure drainage device in the prevention of postoperative wound unhealed of calcaneal fracture.Methods:64 cases with calcaneal fracture were treated with open reduction and plate fixation.They were selected from December 2007 to December 2013 as the research objects.34 cases were with or without rubber drainage after surgery(A group).30 cases were given disposable surgical negative pressure drainage device(B group).After treatment,AOFAS ankle-hindfoot index score,the incidence rate of wound complications,the wound healing time and patient satisfaction were analyzed and compared.Results:The AOFAS ankle-hindfoot index score of B group was better than that of A group.The incidence rate of wound complications was low.The wound healing time was short and the patient satisfaction was high.There was significant difference(P<0.05).Conclusion:The disposable surgical drainage device can greatly reduce the incidence rate of postoperative skin complications of calcaneal fracture.It is an economic and effective prevention method.