Masquelet诱导膜技术在老年创面修复手术中应用  

Use of Masquelet Technique during Wound Repair Surgery in Elderly Patients

作　　者：杨荣辉 陈月仙 胡涌亮 管四炎 刘羊 余昊 YANG Rong-hui;CHEN Yue-xian;HU Yong-liang;GUAN Si-yan;LIU Yang;YU Hao(Department of Orthopedics,People's Hospital of Kecheng District,Quzhou City,Quzhou 324000,Zhejiang Province,China;Organization Department,Jiangxi Health Vocational College,Nanchang 330052,Jiangxi Province,China)

机构地区：[1]衢州市柯城区人民医院骨科,浙江衢州324000 [2]江西卫生职业学院组织部,江西南昌330052

出　　处：《罕少疾病杂志》2025年第1期147-149,共3页Journal of Rare and Uncommon Diseases

基　　金：衢州市柯城区科技计划项目(2020D28)。

摘　　要：目的 探究Masquelet诱导膜技术在老年患者创面修复手术中应用。方法 以随机数字表法将84例胫骨创伤后骨髓炎患者分为研究1组(Masquelet诱导膜技术)与研究2组(Ilizarov技术治疗)各42例,研究对象均为我院2018.5-2019.5所收治,探讨实施不同治疗对治疗效果的影响。结果 在总有效率上,研究1组为97.62%,研究2组为83.33%,两组相比差异显著(P<0.05),研究1组创面愈合时间、住院时间显著比研究2组短(P<0.05),手术后三天以及手术后一周研究1组视觉模拟评分(VAS)均低于研究2组(P<0.05),手术后一周、手术后一个月以及手术后三个月时研究1组膝关节功能评分(HSS)均高于研究2组(P<0.05)。结论 在老年患者创面修复手术中应用Masquelet诱导膜技术后,可显著缩短创面愈合时间、住院时间,减轻疼痛感,改善患者肢体功能,疗效确切,此方法值得应用与推广。Objective To explore the use of Masquelet technique during wound repair.Methods 84 tibial post-traumatic osteomyelitis patients treated from May 2018 to May 2019 were selected and randomly divided into study group 1(Masquelet technique)and study group 2(Ilizarov technique),42 cases in each group.Treatment effects were probed.Results Total effective rate in the study group 1(97.62%)was significantly higher than that in the study group 2(83.33%)(P<0.05);the wound healing time and hospital stays in the study group 1 were significantly shorter than those in the study group 2(P<0.05);after 3d and 1w of surgery,visual analogue scale(VAS)scores in the study group 1 were significantly lower than those in the study group 2(P<0.05);after 1w,1m and 3m of surgery,hospital for special surgery knee score(HSS)in the study group 1 were significantly higher than those in the study group 2(P<0.05).Conclusion Masquelet technique can remarkably shorten the wound healing time and hospital stays,relieve the pain degree,and improve the limb function and treatment effects.It is worthy of clinical application and promotion.

关 键 词：骨髓炎 创面修复 老年患者 Masqueet诱导膜技术 

分 类 号：R592[医药卫生—老年医学]