抗凝治疗对跟骨骨折内固定术后皮肤软组织愈合的影响  

Effect of anticoagulation therapy on skin and soft tissue healing after calcaneal fracture internal fixation

作　　者：马武秀[1] 辛庆峰[1] 郑国海[1] 赵克义[1] 吴旅[1] 

机构地区：[1]解放军第105医院骨一科,安徽合肥230031

出　　处：《颈腰痛杂志》2017年第5期448-451,共4页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的观察抗凝治疗对跟骨骨折内固定术后皮肤软组织愈合的影响,探讨围手术期抗凝治疗的安全性。方法回顾性分析Sanders分型Ⅱ~Ⅵ型闭合性跟骨骨折患者99例(110足),按有无接受抗凝治疗分为抗凝组66足与非抗凝组44足,均采用手术治疗,观察围手术期术口出血量、术口干燥时间、住院时间及AOFAS评分和术口愈合情况。结果抗凝组术后出血量显著多于非抗凝组(P<0.05);抗凝组术口干燥时间和住院时间均显著长于非抗凝组(P<0.05);两组患者术后AOFAS评分方面差异无统计学意义(P>0.05),术后甲级愈合率差异具有统计学意义(P<0.05)。结论抗凝治疗会增加跟骨骨折内固定患者术后出血量及延长住院时间,影响术后愈合。Objective To observe the effect of anticoagulant therapy on skin and soft tissue healing after calcaneal fracture internal fixation and evaluate its safety. Methods A retrospective analysis was conducted in 99 cases （110 feet）with Sanders type Ⅱ -Ⅵ type closed calcaneal fractures. All cases were divided into antieoagulation group （66 feet） and non-anticoagulation group （44 feet） according to whether accepted anticoagulant therapy, all patients were treated by surgery. The total perioperative bleeding, incision drying time, hospitalization time, AOFAS score and wound healing status were recorded. Results The bleeding volume in the anticoagulation group was significantly higher than that in the non-anticoagulation group（P 〈 0.05 ） ,the dry time and length of hospital stay in the anticoagulation group were significantly longer than those in the non-anticoagulation group（P 〈 0.05 ）. There was no statistically significant difference between the two groups in AOFAS score（P 〉 0.05 ）. There was statistically significant difference between the two groups in incision healing （P 〈 0.05 ）. Conclusion Anticoagulant therapy will increase the surgical fixation of calcaneal fractures in patients with surgical bleeding and prolonged hospital stay, and affects wound healing.

关 键 词：抗凝治疗 跟骨骨折 切口愈合 深静脉血栓 

分 类 号：R683.42[医药卫生—骨科学]