复合负压吸引的外固定钢板治疗四肢开放性骨折的应用价值

目的:探讨复合负压吸引的外固定钢板治疗四肢开放性骨折的应用价值。方法:选择2014年1月到2017年1月到我院诊治的胫腓骨中下段开放性骨折患者共68例为研究对象,根据随机信封抽签原则分为观察组与对照组,每组34例。对照组给予负压封闭引流(vacuum sealing drainage,VSD)的常规外固定钢板治疗,观察组给予复合负压吸引的外固定钢板治疗,记录和比较围手术期严重并发症的发生情况、手术时间、骨折愈合时间、临床疗效和创口愈合情况。结果:两组患者都完成手术,围手术期并无严重并发症发生。观察组的手术时间与骨折愈合时间分别为38.24±8.16 min和8.83±1.01周,均明显少于对照组(49.50±9.87min和12.23±0.91周)(P0.05)。术后3个月,观察组和对照组的疗效优良率分别是97.1%、82.4%,观察组明显高于对照组(P0.05);观察组的创口甲级愈合28例,乙级愈合6例,丙级愈合0例;对照组甲级愈合21例,乙级愈合8例,丙级愈合5例,观察组创口愈合情况明细优于对照组(P0.05)。结论:复合负压吸引的外固定钢板治疗四肢开放性骨折能明显缩短手术时间,促进骨折愈合,提高创口愈合质量,提高临床疗效。

Application Value of Compound Vacuum Suction External Fixation Plate for the Open Fracture of Limbs

ABSTRACT Objective: To investigate the clinical value of compound vacuum suction external fixation plate for the treatment of open fracture of limbs. Methods: From January 2014 to January 2017, 68 cases of patients with open fracture of tibia and fibula treated in our hospital were selected as the research object and divided into the observation group and the control group with 34 cases in each group according to the random lottery envelopes. The control group was treated with vacuum sealing drainage(VSD) conventional external fixa- tion plate treatment, the observation group was given compound vacuum suction external fixation plate treatment, the the incidence of se- vere complications during perioperative period, operation time, fracture healing time, clinical efficacy and wound healing were recorded and compared between two groups. Results: All the patients in both groups completed the surgery and there was no serious complications during the perioperative period, the operation time, fracture healing time in the observation group were 38.24±8.16 min and 8.83±1.01 weeks, which were significantly less than those of the control group(49.50±9.87 min and 12.23±0.91 weeks)(P<0.05). The excellent and good rate of observation group and control group at 3 months postoperation were 97.1% and 82.4%, respectively, which was signifi- cantly higher in the observation group than that of the control group(P<0.05). The quality of wound healing at 3 months postoperation in the observation group showed 28 cases of Class A healing and 6 cases of Class B healing, which were 21 cases of Class A healing, 8 cases of Class B healing and 5 cases of Class C healing in the control group, the wound healing of observation group was better than that of the control group(P<0.05). Conclusion: Compound vacuum suction external fixation plate could obviously shorten the operation time, im- prove the fracture healing and the quality of wound healing for the treatment of open fracture of limbs.