钉合及缝合联用对骨科脊柱手术患者切口感染及愈合效果观察  

Effect observation of nailing combined with suturing on incision infection and healing of patients having received orthopedic spinal surgery

作　　者：俞叶锋[1] 胡子昂[2] 

机构地区：[1]浙江省嘉兴市第二医院骨科,浙江嘉兴314000 [2]浙江大学医学院附属邵逸夫医院骨科,浙江杭州310016

出　　处：《中国现代医生》2015年第28期41-43,共3页China Modern Doctor

基　　金：浙江省自然科学基金(Q15H060002)

摘　　要：目的观察钉合及缝合联用对骨科脊柱手术患者切口愈合效果。方法选取2013年1～12月在我院接受治疗的134例骨科脊柱手术患者，随机分为对照组和研究组，比较两组患者术后切口感染率、疼痛程度等。结果研究组患者的缝合伤口速度明显快于对照组，缝合用时明显少于对照组，术后VAS评分也明显低于对照组；研究组患者拆线疼痛要明显强于对照组，患者切口蜈蚣状瘢痕例数为1例，明显少于对照组。结论钉合与缝合联用较钉合对骨科脊柱手术患者切口感染病例数较少，愈合效果好。Objective To observe the effect of nailing combined with suturing on the incision healing of the patients having received orthopedic spinal surgery. Methods 134 patients who had received orthopedic spinal surgery in our hospital were selected and randomly divided into the control group and the study group. Conditions, including the post- operative incision infection rate and pain degree, of the two groups were compared. Results The study group was sig- nificantly higher than the control group in the wound suturing speed, was significantly lower than the control group in the suturing time and was also significantly lower than the control group in the postoperative VAS score. The study group was significantly stronger than the control group in the stitch removing pain, and the number of patients with cen- tipede-like scar of the study group was 1 case, which was significantly less than that of the control group. Conclusion Nailing combined with suturing causes fewer cases of incision infection than simple nailing and shows good healing ef- fect.

关 键 词：骨科脊柱手术 切口感染 VAS 

分 类 号：R687.3[医药卫生—骨科学]