中国组织工程研究Issue(44)：7162-7166,5.DOI:10.3969/j.issn.2095-4344.2014.44.020
Ilizarov外固定联合负压封闭引流修复四肢骨折合并骨筋膜室综合征
Ilizarov external fixation combined with vacuum sealing drainage for the repair of limb fractures with osteofascial compartment syndrome
程建文 1苏伟 1谭桢 1刘伟1
作者信息
- 1. 广西医科大学第一附属医院创伤骨科手外科，广西壮族自治区南宁市 530021
- 折叠
摘要
Abstract
BACKGROUND:Osteofascial compartment syndrome is usual y due to application of external fixation for fracture treatment. Vaseline gauze is used to cover and compress the wound. Frequent dressing change induces infection and is harmful to wound drainage and tissue granulation, final y causing prolonged time of hospitalization and bad results. <br> OBJECTIVE:To investigate the clinical efficacy of Ilizarov external fixation combined with vacuum sealing drainage treatment for limb fractures with osteofascial compartment syndrome. <br> METHODS:A total of 32 patients with limb fractures with osteofascial compartment syndrome were randomly divided into two groups. Al patients adopted the same fasciotomy and drug treatment. In treatment group, the fracture was fixed with Ilizarov external fixation and the wound was covered with the vacuum sealing drainage dressing. In control group, the fractures were treated by unilateral external fixation and the wound was covered with the vaseline gauze. The fracture healing, clinical effects, hospitalization duration and costs between two groups were compared. <br> RESULTS AND CONCLUSION:In the treatment group, there were 10 cases of healing wel , 4 cases of muscle contracture and 2 cases of amputation. In the control group, there were 7 cases of healing wel , 6 cases of muscle contracture and 3 cases of amputation. No significant difference in clinical outcome measures was detected between the two groups. Fracture healing rate and costs were higher in the treatment group than in the control group (P<0.05), but hospitalization duration, skin grafts and the incidence of infection were lower in the treatment group than in the control group (P<0.05). Results suggested that on the basis of timely fasciotomy and decompression, Ilizarov external fixation combined with vacuum sealing drainage treatment for limb fractures with osteofascial compartment syndrome has a high limb salvage rate, which can effectively treat fractures, elevate the healing rate of fractures, reduce infection rate and skin grafting rate, shorten hospital stays. However, the hospitalization expense is higher.关键词
植入体/骨植入物/骨筋膜室综合征/四肢骨折/外固定/负压封闭引流分类
医药卫生引用本文复制引用
程建文,苏伟,谭桢,刘伟..Ilizarov外固定联合负压封闭引流修复四肢骨折合并骨筋膜室综合征[J].中国组织工程研究,2014,(44):7162-7166,5.
