影响人工全膝关节置换皮肤切口愈合因素研究进展  

Advances in research on factors affecting skin incision healing in artificial total knee arthroplasty

作　　者：沈继全 季卫平 王波 何友武 华爱莲 颜子健 SHEN Jiquan;JI Weiping;WANG Bo;HE Youwu;HUA Ailian;YAN Zijian(Department of Orthopaedics,Sixth Affiliated Hospital of Wenzhou Medical University,Lishui People's Hospital,Lishui 323000,China;Clinical Pharmacy Laboratory,Sixth Affiliated Hospital of Wenzhou Medical University,Lishui People's Hospital,Lishui 323000,China;Department of Orthopaedics,Second Affiliated Hospital of Wenzhou Medical University,Yuying Children's Hospital,Wenzhou 325000,China)

机构地区：[1]温州医科大学附属第六医院丽水市人民医院骨科,浙江丽水323000 [2]温州医科大学附属第六医院丽水市人民医院临床药学实验室,浙江丽水323000 [3]温州医科大学附属第二医院育英儿童医院骨科,浙江温州325000

出　　处：《中国现代医生》2020年第2期184-188,192,共6页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2018ZH061);浙江省基础公益研究计划项目(LGF18H060004);浙江省丽水市医学重点学科建设项目(2017ZDXK04)。

摘　　要：探讨人工全膝关节置换后皮肤切口愈合的影响因素。人工全膝关节置换切口愈合不良是术后常见并发症之一,其常影响到患者术后恢复和手术疗效。其主要与患者自身状况、医师术前准备、术中操作、术后管理等密切相关。目前对人工全膝关节置换后皮肤切口愈合因素研究较多,但所得结果不尽一致。其主要与类风湿性关节炎、糖尿病、营养不良、肥胖、缝合方式、引流管、止血带使用时间、手术入路等有关,这些因素不同程度地影响人工关节置换术后皮肤切口的愈合。To investigate the influencing factors of skin incision healing after total knee arthroplasty.Inferior healing of the total knee arthroplasty is one of the common complications after surgery,which often affects the postoperative recovery and surgical outcomes.It is closely related to the patient's own condition,physicians preparation before surgery,intraoperative operation,postoperative management,etc.At present,there are many researches on the factors of skin incision healing after total knee arthroplasty,but the results are not consistent.It is mainly related to rheumatoid arthritis,diabetes,malnutrition,obesity,suture method,drainage tube,tourniquet use time,surgical approach,etc.These factors affect the healing of skin incision after artificialknee arthroplasty.

关 键 词：全膝关节置换 愈合因素 类风湿性关节炎 糖尿病 缝合方式 倒刺线 

分 类 号：R687.3[医药卫生—骨科学]