封闭负压引流联合Masquelet技术治疗创伤性胫骨骨髓炎的临床疗效研究  

Clinical Efficacy of Closed Vacuum Sealing Drainage(VSD)Combined with Masquelet Technique for Traumatic Sacral Osteomyelitis

作　　者：杜元良[1] 肖天洁[1] 耿艳侠[1] DU Yuanliang;XIAO Tianjie;GENG Yanxia(The Affiliated Hospital of Chengde Medical College,Hebei Chengde 067000,China)

机构地区：[1]承德医学院附属医院关节外科,河北承德067000

出　　处：《河北医学》2020年第7期1205-1209,共5页Hebei Medicine

基　　金：河北省承德市科学技术研究与发展计划,(编号:201601A041)。

摘　　要：目的:探讨病灶清除联合封闭负压引流和Masquelet技术治疗胫骨创伤性骨髓炎的临床疗效.方法:选取2014年1月至2017年7月我院住院接受病灶清除及封闭负压引流控制骨感染的创伤性胫骨骨髓炎患者59例,观察组31例应用Masquelet技术修复骨缺损,对照组28例直接自体骨植骨.比较两组患者的并发症、骨愈合时间、生活自理能力评分(SF-36).结果:观察组在骨吸收并发症发生、骨折愈合时间方面低于对照组(P<0.05),观察组患者术后3个月生活自理能力评分高于对照组(P<0.05).结论:病灶清除联合封闭负压引流和Masquelet技术治疗创伤性胫骨骨髓炎可缩短骨愈合时间,减少骨溶解并发症,同时极大的提高患者生活能力.Objective:To investigate the clinical efficacy of focal debridement combined with closed vacuum drainage and Masquelet in the treatment of traumatic osteomyelitis of the tibia.Methods:59 patients with traumatic tibial osteomyelitis who were hospitalized in our hospital from January 2014 to July 2017 to receive focus clearance and closed negative pressure drainage to control bone infection were selected.31 patients in the observation group were treated with masquelet technology to repair bone defects,and 28 patients in the control group were treated with direct autogenous bone grafting.The complications,healing time and self-care ability(SF-36)of the two groups were compared.Results:The observation group had lower bone resorption complications and fracture healing time than the control group(P<0.05).The self-care ability score of the observation group was higher than that of the control group at 3 months after operation(P<0.05).Conclusion:Focal debridement combined with closed negative pressure drainage and Masquelet technique for the treatment of traumatic tibiofibular osteomyelitis can shorten the time of bone healing,reduce the complications of osteolysis,and greatly improve the patient's ability to live.

关 键 词：封闭负压引流 创伤性胫骨骨髓炎 Masquelet技术 

分 类 号：R687.3[医药卫生—骨科学]