真空负压吸引与绑鞋带技术修复小腿骨筋膜间室综合征减张效果比较的研究
发布时间：2018-10-15 11:30
【摘要】：目的：比较真空负压吸引技术与绑鞋带技术在治疗小腿骨筋膜间室综合征切开减张切口的疗效。方法：将36例小腿骨筋膜室综合征患者患者(46个减张切口)随机分为负压吸引组和绑鞋带组,每组各23个减张切口,负压吸引组骨折复位后外固定架固定,切开减张后即行负压封闭引流治疗；绑鞋带组骨折患者复位后外固定架固定,切开减张治疗后创面敷贴负压封闭吸引材料-聚乙烯乙醇水化海藻盐泡沫,皮缘用皮肤吻合器作扣环采用硅橡胶袢充当缚带采用切口绑鞋带治疗技术。治疗后1个月比较两组患者切口大小、切口完全闭合切口所需时间、感染情况、需进一步干预的需求、日常治疗费用等情况。结果：绑鞋带组切口闭合所需时间显著优于负压吸引组((p0.05)。负压吸引组中有8个减张切口需行进一步植皮,绑鞋带组无需行植皮。绑鞋带组中5个减张切口需要更换硅橡胶袢。两组中创面感染率比较差异无显著性意义,也均未出现治疗后筋膜间室压力增高及皮缘坏死等现象。结论：真空负压吸引技术和绑鞋带技术均为治疗小腿骨筋膜间室综合征切开减张切口安全、有效的治疗技术,其疗效可靠,已被临床使用。与真空负压吸引技术相比,绑鞋带技术伤口闭合时间短、创伤小、疗效更优。
[Abstract]:Objective: to compare the effect of vacuum suction technique and shoelace binding technique in the treatment of leg osteofascial compartment syndrome incision and tension reduction incision. Methods: Thirty-six patients with osteofascial compartment syndrome (OCS) were randomly divided into negative pressure suction group and shoelace binding group. The patients in the shoelace group were treated with negative pressure closure and drainage, and the patients in the shoelace group were treated with external fixator after reduction, and the wounds were treated with negative pressure sealing and draining material (polyethylene ethanol-hydrated trehalate foam) after incision and tension reduction. Using skin stapler as clasp, silicone rubber loop is used as strapping band. One month after treatment, the size of incision, the time of complete closure of incision, the infection, the need for further intervention, the cost of daily treatment and so on were compared between the two groups. Results: the time of incision closure in shoelace group was significantly longer than that in negative pressure suction group (p 0.05). In the negative pressure suction group, 8 tension reduction incisions need further skin grafting, while in the shoelace group there is no need for skin graft. In the shoelace group, five tension-reducing incisions need to be replaced with silicone rubber loops. There was no significant difference in wound infection rate between the two groups and there were no signs of increased interfascial ventricular pressure and skin edge necrosis after treatment. Conclusion: vacuum suction technique and shoelace binding technique are safe and effective in the treatment of osseous interfascial compartment syndrome incision and tension reduction incision. Compared with vacuum suction technique, shoelace technique has shorter wound closure time, less trauma and better curative effect.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R658.3
，
本文编号：2272415
[Abstract]:Objective: to compare the effect of vacuum suction technique and shoelace binding technique in the treatment of leg osteofascial compartment syndrome incision and tension reduction incision. Methods: Thirty-six patients with osteofascial compartment syndrome (OCS) were randomly divided into negative pressure suction group and shoelace binding group. The patients in the shoelace group were treated with negative pressure closure and drainage, and the patients in the shoelace group were treated with external fixator after reduction, and the wounds were treated with negative pressure sealing and draining material (polyethylene ethanol-hydrated trehalate foam) after incision and tension reduction. Using skin stapler as clasp, silicone rubber loop is used as strapping band. One month after treatment, the size of incision, the time of complete closure of incision, the infection, the need for further intervention, the cost of daily treatment and so on were compared between the two groups. Results: the time of incision closure in shoelace group was significantly longer than that in negative pressure suction group (p 0.05). In the negative pressure suction group, 8 tension reduction incisions need further skin grafting, while in the shoelace group there is no need for skin graft. In the shoelace group, five tension-reducing incisions need to be replaced with silicone rubber loops. There was no significant difference in wound infection rate between the two groups and there were no signs of increased interfascial ventricular pressure and skin edge necrosis after treatment. Conclusion: vacuum suction technique and shoelace binding technique are safe and effective in the treatment of osseous interfascial compartment syndrome incision and tension reduction incision. Compared with vacuum suction technique, shoelace technique has shorter wound closure time, less trauma and better curative effect.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R658.3
，
本文编号：2272415
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