Allgower-Donati缝合法在跟骨骨折“L”形切口中的临床应用  

Clinical application of Allgower-Donati suture in L-shaped incision of calcaneal fracture

作　　者：王小龙[1] 景尚斐[1] 郝增涛[1] 殷超[1] 王继宏[1] 樊东升[1] 温树正[1] 王永飞[1] 姜东 孙韬[1] 张志勇[1] 韩超前[1] Wang Xiaolong;Jing Shangfei;Hao Zengtao;Yin Chao;Wang Jihong;Fan Dongsheng;Wen Shuzheng;Wang Yongfei;Jiang Dong;Sun Tao;Zhang Zhiyong;Han Chaoqian(Department of Hand and Foot Svu^ery,The Second Affiliated Hospital ofInner Mongolia Medical University,Hohhot Inner Mongolia,010030,China)

机构地区：[1]内蒙古医科大学第二附属医院手足显微外二科,内蒙古呼和浩特010030

出　　处：《生物骨科材料与临床研究》2021年第1期39-42,共4页Orthopaedic Biomechanics Materials and Clinical Study

摘　　要：目的探讨Allgower-Donati缝合法在跟骨骨折"L"形切口中的临床疗效。方法选取内蒙古医科大学第二附属医院于2012年1月至2018年1月诊治的360例SandersⅡ、Ⅲ型跟骨骨折切开复位钢板内固定的患者,以随机数字表法分为3组,分别采用不同的缝合方法:Allgower-Donati缝合组采用改良间断垂直褥式缝合法(Allgower-Donati缝合法,A组),Donati缝合组采用间断垂直褥式缝合法(Donati缝合法,B组),单纯缝合组采用间断单纯缝合法(C组),每组120例。观察并对比3组患者的手术时间、伤口缝合时间、引流时间、术后VAS评分、临床疗效以及切口并发症的发生情况。结果 3组患者在手术时间、伤口缝合时间、引流时间及术后VAS评分方面比较,差异均无统计学意义(>0.05);在临床疗效方面,A组患者的临床疗效优良率优于B组,而B组优于C组(92.5%vs. 81.67%vs. 73.33%),差异均有统计学意义(<0.05);在术后伤口并发症方面,A组患者的伤口总体并发症发生率明显低于B组,而B组也显著低于C组,A组和C组的差异也有统计学意义(<0.05)。结论 Allgower-Donati缝合法在临床疗效和术后切口并发症方面均优于间断垂直褥式缝合法和单纯间断缝合法,不影响手术效果,值得临床推广运用。Objective To investigate the clinical effect of Allgower-Donati suture in the treatment of calcaneal fractures with L-shaped incision.Methods We collected 360 patients who underwent open reduction and internal fixation of the calcaneal fracture Sanders typeⅡ/Ⅲfrom January 2012 to January 2018 in the Second Affiliated Hospital of Inner Mongolia Medical University,the patients were randomly divided into three groups by random numbers and using different sutures:Allgower-Donati suture group was treated with modified intermittent vertical suture(Allgower-Donati suture,group A),Donati suture group was treated with intermittent vertical suture(Donati suture,group B),and simple suture group was treated with simple suture(group C),120 patients in each group.The operation time,wound suture time,drainage time,and postoperative VAS score,clinical efficacy,and incidence of postoperative incision complications such as incision skin margin necrosis,wound infection,incision dehiscence,plate exposure,osteomyelitis and other incision complications were observed and compared.Results There were no significant differences in the operation time,wound suture time,drainage time and postoperative VAS score among the three groups(P>0.05).In terms of clinical efficacy,the clinical efficacy of group A was better than that of group B,while group B was better than group C(92.5%vs.81.67%vs.73.33%),and the difference was statistically significant(P<0.05).In terms of postwound complications,the overall complication rate of wounds in group A was significantly lower than that in group B,and group B was also significantly lower than group C,and there was significant difference between group A and group C(P<0.05).Conclusion Allgower-Donati suture method is superior to intermittent vertical suture method and simple intermittent suture method in clinical efficacy and postoperative incision complications,which does not affect the surgical effect and is worthy of clinical application.

关 键 词：跟骨骨折 缝合方法 切口 并发症 Allgower-Donati缝合 

分 类 号：R683.42[医药卫生—骨科学]