克氏针扯皮修复术治疗四肢创面缺损伤的疗效分析  

The effect of Kirschner wire skin pulling repair on the treatment of limb defect

作　　者：程锐[1] 曾少鞠 谢伟雄 简振柱 CHENG Rui;ZENG Shaoju;XIE Weixiong(Department of Orthopedics,The People's Hospital of Wuchuan City,Zhanjiang,Guangdong,524500,China)

机构地区：[1]吴川市人民医院骨科,广东湛江524500

出　　处：《实用手外科杂志》2021年第1期9-12,共4页Journal of Practical Hand Surgery

基　　金：湛江市科学技术局项目(项目编号:2018B01136)。

摘　　要：目的探讨克氏针扯皮修复术治疗四肢创面缺损伤的疗效。方法回顾性研究2017年4月-9月收治的46例四肢皮肤软组织缺损患者,依据治疗方法不同,分为观察组与对照组。其中观察组采用克氏针扯皮修复术治疗四肢创面缺损22例,对照组选取常规治疗(清创引流-肉芽创面-植皮或皮瓣修复)24例,分析观察组与对照组治疗效果以及并发症发生率的差异。结果研究发现两组手术时间差异具有统计学意义(t=10.12,P=0.03);两组术中出血量差异具有统计学意义(t=9.26,P=0.03);两组创面完全愈合时间差异具有统计学意义(t=21.26,P=0.01);观察组与对照组二次手术分别0、2例;局部感染分别1、2例;克氏针豁出分别0、0例;渗出增加分别0、3例。比较术后的并发症发生率发现,观察组并发症的发生率显著低于对照组(χ^(2)=4.56, P=0.03)。结论采用克氏针扯皮修复技术能够促进皮肤扩张并较快速地闭合创面,该手术可减少或避免采用植皮、皮瓣手术,具有简单、经济、实用和可靠性强的特点,是治疗四肢局部软组织缺损的有效方法。Objective To study the curative effect of Kirschner wire skin pilling repair on the treatment of limb wound defects. Methods A retrospective study of 46 patients with limb skin and soft tissue defects treated in our department of orthopedics from April 1, 2017 to September 30, 2017 was carried out. According to the different treatment methods, they were divided into a research group and a control group. The study group had 22 patients with limb wound defects treated with Kirschner wire pulling. The control group was selected from conventional treatment (debridement drainage-granulation wound-skin grafting). Or flap repair in 24 patients. The differences in treatment effects and complication rates between the study group and the control group were analyzed. Results There was a significant difference in the operation time between two groups (t =10.12,P =0.03);there was a significant difference between two groups during the operation (t =9.26,P =0.03);the time to complete wound healing in the two groups There were significant differences (t =21.26,P =0.01). The second operation in the observation group and the control group occurred 0 and 2 times respectively;the local infection occurred 1 and 2 times respectively;the Kirschner wire needle excision occurred 0 and 0 times respectively;Exudation increases occurred 0 and 3 times, respectively. Comparing the incidence of postoperative complications, it was found that the incidence of complications in the observation group was significantly lower than that in the control group (χ^(2) =4.56, P =0.03). Conclusion The Kirschner wire technique can promote skin expansion and close the wound more quickly. This operation can reduce or avoid the use of skin grafts and flaps. It is simple, economical, practical and reliable. It is an effective method for soft tissue defects.

关 键 词：克氏针 四肢创面缺损伤 植皮 疗效分析 

分 类 号：R658[医药卫生—外科学]