摘要
目的：探讨外固定支架结合负压封闭引流技术（VSD）治疗开放性胫骨骨折的临床效果。方法：回顾性分析2012年1月-2013年1月在本院接受治疗的43例胫骨骨折患者的临床资料，观察外固定支架结合VSD治疗开放性胫骨骨折的手术方法及治疗效果。结果：本组43例患者骨折一期愈合40例（93.02%），延迟愈合3例（6.98%），骨折愈合时间16~42周，平均（24.32±8.26）周。VSD使用次数1~3次，34例创面明显缩小直接缝合后痊愈，7例创面肉芽组织新鲜后经植皮后愈合，2例患者经皮瓣转移后痊愈。结论：外固定支架结合VSD治疗开放性胫骨骨折具有固定效果好、创面恢复快等优点，且操作简单，可作为目前治疗开放性胫骨骨折的首选治疗方案。
Objective：To investigate the clinical efficacies of external fixation and VSD on the treatment of open tibial fractures.Method：Retrospective analysis was carried out about the clinical data of 43 cases of open tibial fractures treated in the hospital from January 2012 to January 2013. Observations were done about the operation methods and treatment efficacy of external fixation and VSD.Result：Among 43 cases in the group,40 cases of the factures were categorized as healing of first intention（93.02%）,while 3 cases of the factures were categorized as delayed healing（6.98%）. The healing time of fracture lasted from 16 weeks to 42 weeks,with the average time at（24.32±8.26）weeks.VCD usage was for 1-3 times. 34 cases of the healing were finished with the direct suture after obvious contraction of wound surface,7 cases of the healing were finished with skin grafting after appearing new granulation tissues on the wound surface,and 2 cases of the healing were finished after the transfer of skin flap.Conclusion：With the qualities of good fixation effects,quick recovery of the wound surface and easy operation,the external fixation and VSD currently serve as the priority therapy on the treatment of open tibial fractures.
出处
《中国医学创新》
CAS
2013年第25期123-124,共2页
Medical Innovation of China
