摘要
目的观察负压封闭引流(Vacuum Sealing Drainage,VSD)治疗骨折并发骨筋膜室综合征的治疗效果。方法试验组选取60例骨折并发骨筋膜室综合征患者进行切开减压覆盖VSD辅助治疗,对照组为54例同期采取切开减压传统换药治疗。结果 VSD治疗组感染发生率为0,明显低于对照组的18.5%;在截肢发生率、植皮存活率、肿胀消退时间、住院时间等方面试验组明显优于对照组,差异均有统计学意义(均P<0.05)。结论 VSD可以有效预防骨筋膜室综合征切口部位感染,促进切口愈合,降低住院成本,值得推广应用。
OBJECTIVE To observe the effects vacuum sealing drainage treatment of fractures complicated by osteofascial compartment syndrome.METHODS The experimental group of 60 fractures complicated by osteofascial compartment syndrome in patients was treated with adjuvant treatment of decompression coverage VSD,and 57 cases of decompression were treated with traditional dressing treatment.RESULTS The incidence of the infection in experimental group was 0,which was significantly lower than that of the control group（18.5%）.The incidence of amputation,Skin grafting survival rate,swelling time and hospitalization time of the experimental group was significantly superior to those of control group,the difference was statistically significant（P〈0.05）.CONCLUSION VSD can prevent the incision site infection of osteofascial compartment syndrome,reduce the cost,and promote the wound healing,so it should be widely applied.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2011年第18期3861-3862,共2页
Chinese Journal of Nosocomiology
关键词
感染
负压吸引
骨筋膜室综合症
减张切口
Infection
Vacuum sealing drainage
Osteofascial compartment syndrome
Fasciectomy wound
