Pilon骨折延期手术治疗效果及术后感染病原菌分析

发布时间：2018-05-24 14:19

本文选题：Pilon骨折 + 延期手术　；参考：《中华医院感染学杂志》2017年11期

【摘要】：目的比较Pilon骨折延期手术治疗和传统早期手术治疗效果,并分析Pilon骨折延期手术术后感染病原菌。方法分析2011年1月-2016年2月医院收治278例Pilon骨折患者的临床资料,将延期手术治疗137例患者为观察组,给予早期切开复位内固定术141例患者为对照组。结果两组患者经不同术式治疗后,观察组患者优良率89.1%,高于对照组70.9%,差异有统计学意义(P0.05);观察组患者术后并发症发生率24.8%,低于对照组41.8%,差异有统计学意义(P0.05);观察组患者术后共分离出13株病原菌,革兰阳性菌9株占69.23%,革兰阴性菌4株占30.77%,观察组患者术后感染病原菌主要以金黄色葡萄球菌感染为主。结论分步延期手术较内固定术治疗效果较好,并发症发生率较低,术中给予抗金黄色葡萄球菌的药物可以有效减少术后感染。
[Abstract]:Objective to compare the effect of delayed operation and traditional early operation on Pilon fracture and analyze the pathogenic bacteria after delayed operation of Pilon fracture. Methods Clinical data of 278 patients with Pilon fracture treated in our hospital from January 2011 to February 2016 were analyzed. 137 patients with delayed operation were treated as observation group and 141 patients were treated with early open reduction and internal fixation as control group. Results after two groups of patients were treated with different surgical methods, The excellent and good rate of patients in the observation group was 89.1, which was higher than that in the control group (70.9), the difference was statistically significant (P 0.05), the incidence of postoperative complications in the observation group was 24.8, which was lower than that in the control group (41.8%), and the difference was statistically significant (P 0.05). 13 strains of pathogenic bacteria were isolated from the patients in the observation group after operation. 9 Gram-positive bacteria accounted for 69.23 and 4 Gram-negative bacteria accounted for 30.770.The main pathogens of postoperative infection in the observation group were Staphylococcus aureus. Conclusion compared with internal fixation, stepwise delayed operation is more effective than internal fixation, and the incidence of complications is lower. Intraoperative administration of anti-Staphylococcus aureus drugs can effectively reduce postoperative infection.
【作者单位】：石狮市医院骨科;福建医科大学附属第一医院检验科;
【基金】：福建省卫生厅青年基金资助项目(2013-2-39)
【分类号】：R687.3

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