摘要
目的 研究早期软组织覆盖成形在重度开放性胫骨骨折治疗中的作用。 方法 Ⅲb型开放性胫骨骨折 76侧按软组织覆盖成形的时间不同分为三组。早期 (0～ 7d) 31侧 ,中期 (8～ 30d)2 4侧 ,晚期 (>30d) 2 1侧。比较各组感染、骨不愈合等并发症的发病率和平均骨折愈合时间。 结果 早期软组织覆盖成形组深部感染、骨折不愈合等并发症的发生率 (6 5 % ,12 9% )明显低于中、晚期组 (5 0 0 %、47 6 %和 37 5 %、38 1% ) ,平均骨折愈合时间 (5 0周 )少于中、晚期组 (78周和 82周 )。 结论 早期软组织覆盖成形可明显减少重度开放性胫骨骨折的并发症 ,缩短骨愈合时间。“早期”应尽量限于 1周内 ,1周后医源性感染的机会将会增加。
Abstract [WT5”BZ]To study the role of early soft tissue coverage in the treatment of severe open tibial fractures. [WT5”HZ]Methods [WT5”BZ]76 open tibial fractures of type Ⅲb were divided into early group(0～7 days),subacute group(8～30 days), and late group(>30 days) according to the coverage time of soft tissue. Complications such as infection and nonunion were compared. [WT5”HZ]Results [WT5”BZ]The infection and nonunion rates of early group were lower than those of the subacute and late groups. The average time to union of the early group was less than that of the subacute and late groups.[WT5”HZ]Conclusions [WT5”BZ]Early soft tissue coverage can reduce the complications and the time to union of severe open tibial fractures. The time for “early” coverage should be limited in 1 week. The opportunity of nosocomial infection will increase after 1 week. [WT5”HZ]
出处
《中华外科杂志》
CAS
CSCD
北大核心
2000年第7期526-528,共3页
Chinese Journal of Surgery
关键词
胫骨开放性骨折
软组织覆盖成形术
疗效
Tibial fractures
Fractures,open
Fracture healing
Soft tissue infections
