负压引流结合半管引流在胫骨平台骨折手术中应用效果的回顾性分析

Retrospective analysis of effect of negative pressure drainage combined with half tube drainage in tibial plateau fracture surgery

目的回顾性分析负压引流结合半管引流在减少术后早期伤口并发症、促进伤口愈合的作用。方法选择我院骨科2015年08月-2017年8月收治入院接受手术治疗的100例外伤后致闭合性胫骨平台Ⅰ-Ⅵ型骨折患者。根据引流方法不同分为2组:A组(45例)为手术结束后安置负压引流结合半管加以充分引流,B组(55例)为仅安置负压引流。结果 A组45例(100%)患者术后切口一期愈合,顺利出院,B组中6例(10.9%)患者术后出现伤口积液继发感染,经长期换药,数次VSD引流。术后三个月取出骨折不愈合处内固定后切口愈合出院。结论负压引流结合半管引流能保证充分引流,有效防止胫骨平台骨折手术后的伤口积液继发感染。

Objective To explore the effect of vacuum sealing drainage( VSD) combining with percutaneous drainage for decreasing wound complications and promoting wound healing. Methods We chose 100 patients diagnosed with fracture of tibial plateau and undergoing surgeries in our hospital from August,2015 to August,2017. All these patients were divided into two groups according to the way of drainage after surgery. Group A( 45 patients) was treated by VSD combining with percutaneous drainage,and group B( 55 patients) was treated by VSD. Results In group A,45( 100%) wound healings were first intensions and all patients discharged successfully. However,6( 10. 9%) patients in group B with postoperative wound effusions suffered secondary infection. These patients were treated by repeated VSD drainages and dressing changes for a long time. After three months of healing of fracture nonunion,they discharged after internal fixation removal of lateral incision healing. Conclusion The results showed that vacuum sealing drainage( VSD) combining with percutaneous drainage was effective for fracture of tibial plateau,and prevented wound effusion secondary infection.