摘要
目的对骨科术后感染灌洗术和灌洗管进行改良,探讨其对术后感染的治疗效果。方法 2005年3月-2010年3月,应用双阀门侧孔式灌洗管及脉冲式灌洗法改良灌洗术治疗骨科术后感染患者126例。男98例,女28例;年龄19～63岁,平均35岁。感染部位:股骨干61例,胫、腓骨46例,肱骨干12例,髌骨7例。观察治疗期间灌洗管阻塞、脱落,灌洗、引流口继发感染及切口愈合、感染治愈等情况。结果灌洗期间患者均未发生管道脱落现象。68例出现灌洗管阻塞,其中9例因未及时发现出现病灶周围组织水肿;10例出现灌洗、引流口继发感染,其中6例两处同时感染;均经相应处理治愈。手术切口均于术后2周内Ⅰ期愈合;1个月内闭合灌洗、引流口。126例均获随访,随访时间1～5年,平均18个月;感染均无复发。结论双阀门侧孔式灌洗管及脉冲式灌洗法改良灌洗术能明显降低灌洗管脱落率和阻塞率,提高了灌洗效率,可有效治疗骨科术后感染。
Objective To develope a modified surgical lavage tube to improve the efficacy of the treatment of orthopaedic postoperative infection.Methods A retrospective analysis was performed on 126 patients who received the pulsed lavage therapy with side-hole double valve lavage tube between March 2005 and March 2010.There were 98 males and 28 females,aged 19-63 years（mean,35 years）.The infected sites included femur in 61 cases,tibio bula in 46 cases,humerus in 12 cases,and patella in 7 cases.The lavage tube obstruction and de uvium,secondary infection of drainage opening,and wound healing were observed during treatment.Results No lavage tube de uvium occured during the lavage in all cases.Lavage tube obstruction occurred in 68 cases,edema at the peripheral tissue was caused by obstruction in 9 cases;secondary infection at the lavage and drainage opening in 10 cases,which were cured after corresponding treatment.All cases achieved wound healing by rst intention within 2 weeks.Lavage tube and drainage opening were closed within 1 month.All patients were followed up 1-5 years（mean,18 months） with no recurrence.Conclusion Pulsed lavage therapy with side-hole double valve lavage tube can obviously improve the e cacy of the treatment of orthopaedic postoperative infection,so it is an e ective modi cation to convention lavage.
出处
《中国修复重建外科杂志》
CAS
CSCD
北大核心
2012年第6期691-694,共4页
Chinese Journal of Reparative and Reconstructive Surgery
基金
2011年度河北省科学技术研究与发展计划自筹经费资助项目(112761164)~~
关键词
骨科术后感染
灌洗法
并发症
Orthopaedic postoperative infection Lavage Complication
