负压封闭引流术治疗四肢骨折合并严重软组织损伤的临床效果观察  

Observation of clinical effect of vaccum sealing drainage for limb fracture with severe soft tissue injuries

作　　者：童伟林 唐芙蓉 项舟[2] 

机构地区：[1]湖南省株洲市中心医院急诊科,湖南株洲412000 [2]四川大学华西医院骨科,四川成都610041

出　　处：《中国医药导报》2013年第29期62-64,67,共4页China Medical Herald

基　　金：教育部"高等学校博士学科点专项科研基金"联合资助项目(编号200806101126)

摘　　要：目的对负压封闭引流术（VSD）治疗四肢骨折合并严重软组织损伤的临床疗效观察。方法抽取湖南省株洲市中心医院急诊科自2011年5月～2013年4月收治的四肢骨折合并严重软组织损伤患者48例。将所有患者随机分为实验组和对照组，每组各24例。两组患者均先进行创面清理，实验组根据患者损伤程度的不同采取VSD治疗1-2周，而对照组仅进行常规换药治疗，放置引流条，以纱布包扎。统计两组患者的手术处理时间、治疗后创伤面积、换药次数和患处愈合时间，并根据患者临床症状的变化情况对两组治疗效果进行评价。结果实验组在手术处理时间、治疗后创伤面积、换药次数和患处愈合时间等指标上均明显优于对照组，差异有统计学意义（P〈0．05）；两组疗效比较．实验组治愈23例，有效1例，无效0例，治愈率为95．8％；对照组治愈17例，有效5例，无效2例，治愈率为70．8％。两组治愈率比较，差异有统计学意义（P〈0．05）。结论利用VSD治疗四肢骨折合并严重软组织损伤，能缩短愈合时间。疗效显著，是目前该疾病较佳的治疗选择，值得在临床上进一步广泛推行。Objective To observe the clinical effect of vaccum sealing drainage （VSD） for limb fracture with severe soft tissue injuries. Methods 48 limb fracture patients with severe soft tissue injuries who were admitted to Department of Emergency of Central Hospital of Zhuzhou City from May 2011 to April 2013 were selected and randomly divided into experiment group （n = 24） and control group （n = 24）, all these patients were given wound cleaning at first. The experiment group was given the treatment of VSD from 1-2 weeks according to the degree of patients＂ injury, while the control group was given the conven- tional treatments of dressing change, putting drainage bands and gauze bandaging. The time of surgery, the trauma area after treatment, times of dressing change and time of wound recovery were statistically compared between the two groups. And the changes of clinical symptoms were used for evaluating the therapeutic effect of the two groups. Results The time of surgery, the trauma area after treatment, times of dressing change and time of wound recovery in the experiment group were all better than those in the control group, the differences were statistically significant （P 〈 0.05）. 23 cases with cure, 1 case with effec- tivity, non of nullity were found in experiment group, the cure rate was 95.8%; 17 cases with cure, 5 cases with effectivity, 2 cases with nullity, the cure rate was 70.8%. The difference of cure rate was statistically significant （P 〈 0.05）. Conclusion The treatment of VSD for limb fracture with severe soft tissue injuries can shorten the time of cure, it has significant curative effect and is the better choice for this disease which should be expanded in clinic.

关 键 词：负压封闭引流术 四肢骨折 严重软组织损伤 疗效观察 

分 类 号：R683.42[医药卫生—骨科学]