摘要
[目的]探讨间歇性充气加压(intermittent pneumatic compression, IPC)治疗对跟腱修复术后深静脉血栓(deep vein thrombosis, DVT)发生的影响。[方法]回顾性分析2020年1月—2022年1月本院采用微创手术修复的急性跟腱断裂114例。术后医患沟通,59例术后常规石膏固定(常规组),55例术后常规石膏固定的同时加用IPC治疗(IPC组)。比较两组术后并发症和DVT发生率。[结果]两组患者均顺利完成手术。常规组未出现腓肠神经损伤,IPC组出现1例腓肠神经损伤,考虑术中牵拉所致,经过药物治疗后痊愈,差异无统计学意义(P>0.05)。常规组有3例切口愈合不佳,出现浅表感染,IPC组有2例切口浅表感染,经过局部换药后痊愈,两组患者切口愈合等级差异无统计学意义(P>0.05)。超声检查显示,IPC组术后2周DVT发率显著低于常规组(5.5%vs 13.6%, P=0.042),术后4周两组间DVT的发生率差异无统计学意义(20.0%vs 25.4%,P=0.737)。[结论]即使石膏固定状态下,IPC治疗能够有效降低DVT的发生,同时对切口愈合及腓肠神经无明显影响。
[Objective]To investigate the efficiency of intermittent pneumatic compression(IPC)used for prevention of deep vein thrombosis(DVT)after Achilles tendon repair.[Methods]A total of 114 patients received minimally invasive surgical repair for acute Achilles tendon rupture in our hospital from January 2020 to January 2022.Based on postoperative doctor-patient communication,59 pa⁃tients received postoperative routine plaster fixation(the conventional group),while the other 55 patients underwent postoperative routine plaster fixation combined with IPC treatment(IPC group).The incidence of postoperative complications and DVT was compared between the two groups.[Results]All patients in both groups were successfully operated on.Sural nerve injury was found in one case of the IPC group,whereas non in the conventional group,which was considered to be caused by intraoperative pulling and recovered after drug treat⁃ment,without a statistically significant difference between the two groups(P<0.05).Poor incision healing and superficial infection were not⁃ed in 3 patients in the conventional group,while 2 cases in the IPC group,which healed well after dressing change,with no statistically sig⁃nificant difference in incision healing grade between the two groups(P>0.05).Ultrasonographically,the incidence of DVT in the IPC group was significantly lower than that in the conventional group 2 weeks after surgery(5.5%vs 13.6%,P=0.042),whereas it became not signifi⁃cantly different between the two groups 4 weeks after surgery(20.0%vs 25.4%,P=0.737).[Conclusion]The IPC treatment does effectively reduce the incidence of DVT,without significant impact on wound healing and sural nerve.
作者
刘洋
鲁文
韩锦学
李雪飞
丁晓琳
LIU Yang;LU Wen;HAN Jin-xue;LI Xue-fei;DING Xiao-lin(Department of Orthopedics,The Second Affiliated Hospital,Shandong First Medical Universi-ty,Tai'an 271000,China)
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2023年第12期1138-1140,共3页
Orthopedic Journal of China
关键词
跟腱断裂
微创修复
间歇性充气加压
深静脉血栓
achilles tendon rupture
minimally invasive repair
intermittent pneumatic compression
deep vein thrombosis
