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封闭式负压引流技术联合开放植骨治疗胫骨创伤性骨髓炎效果分析(1)
http://www.100md.com 2018年2月5日 《中外医疗》 2018年第4期
     [摘要] 目的 将封闭式负压引流技术和开放植骨结合治疗用于胫骨创伤性骨髓炎患者中,探析其应用效果。 方法 方便选取2014年1月—2017年1月在该院治疗的50例胫骨创伤性骨髓炎患者纳入研究中,均予以50例患者封闭式负压引流技术和开放植骨结合治疗,调查和研究不同骨硬化类型患者的感染控制治疗时间统计值、骨折愈合时间统计值、去除外固定时间统计值,统计和分析50例患者治疗之前和治疗之后的HHS评分数值、Baird-Jackson评分数值。结果 节段性骨硬化患者的骨折愈合时间统计值(34.9±4.0)周、去除外固定时间统计值(36.0±3.3)周和部分骨硬化患者(28.0±3.4)周、(28.8±2.0)周对比,差异有统计学意义(P<0.05),治疗之后的HHS评分数值(86.9±7.0)分、Baird-Jackson评分数值(88.5±8.0)分和治疗之前对比,差异有统计学意义(P<0.05)。结论 在胫骨创伤性骨髓炎患者中采取封闭式负压引流技术和开放植骨结合治疗有顯著效果呈现。

    [关键词] 封闭式负压引流技术;开放植骨;胫骨创伤性骨髓炎;治疗效果

    [中图分类号] R4 [文献标识码] A [文章编号] 1674-0742(2018)02(a)-0050-03

    Effect of Closed Negative Pressure Drainage Combined with Open Bone Grafting in the Treatment of Tibial Traumatic Osteomyelitis

    ZHANG Bao-jian

    Department of Surgery, Zaozhuang Mining Group Tengnan Hospital, Zaozhuang, Shandong Province, 277519 China

    [Abstract] Objective This paper tries to explore the effect of closed - type negative pressure drainage technology and open bone grafting therapy for patients with tibial traumatic osteomyelitis. Methods 50 cases of traumatic osteomyelitis in patients with tibial from January 2014 to January 2017 in this hospital were convenient selected in the study, 50 cases of patients with closed negative drainage and open bone graft combined treatment, investigation and study of different types of patients with osteosclerosis infection control treatment time statistics, fracture healing time statistics, removal of external fixation time statistics, statistics and analysis HHS scores before and after treatment in 50 patients, Baird-Jackson scores. Results The patients with segmental bone fracture healing time statistics (34.9±4.0)weeks, except to fixed time statistics (36.0±3.3)weeks and part of the bone sclerosis patients (28.0±3.4)weeks, (28.8±2.0)weeks, (P<0.05), with statistically significant difference, after treatment of HHS score values (86.9±7.0)points, Baird-Jackson score values (88.5±8.0)points, and compared with that before treatment, with significant difference (P<0.05). Conclusion In patients with tibial traumatic osteomyelitis, there was a significant effect of closed - type negative pressure drainage and open bone grafting.

    [Key words] Closed negative pressure drainage technology; Open bone grafting; Traumatic osteomyelitis of tibia; Treatment effect

    胫骨创伤性骨髓炎患者的临床治疗存在一定难度,常规予以患者分期手术治疗方法[1]。于2014年1月—2017年1月研究封闭式负压引流技术和开放植骨结合治疗用于胫骨创伤性骨髓炎患者中的效果,现报道如下。

    1 资料与方法

    1.1 一般资料

    实验样本是方便选取诊治的50例胫骨创伤性骨髓炎患者,男性有39例,女性有11例,年龄从21~47岁,计算其年龄平均值得到(33.58±2.54)岁,存在节段性骨硬化的患者有25例,存在部分骨硬化的患者有25例。, 百拇医药(张保建)
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