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中国当代医药  2022, Vol. 29 Issue (29): 65-68    
  骨科医学 本期目录 | 过刊浏览 | 高级检索 |
开放植骨联合负压封闭引流技术治疗创伤后感染性骨缺损的效果
满玉强
山东省枣庄市立医院骨科,山东枣庄 277000
Effect of open bone grafting combined with negative pressure closed drainage technology in the treatment of post-traumatic infectious bone defect
MAN Yuqiang
Department of Orthopedics,Zaozhuang Municipal Hospital,Shandong Province,Zaozhuang 277000,China
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摘要 
目的 评估开放植骨联合负压封闭引流技术治疗创伤后感染性骨缺损的效果。方法 选取2020年9月至2021年9月枣庄市立医院收治的92例创伤后感染性骨缺损患者作为研究对象,按照抽签法分为植骨组和引流组,每组46例。植骨组行开放植骨治疗,引流组增加负压封闭引流治疗,检测两组患者炎症指标,观察骨关节功能及恢复情况,统计治疗效果。结果 治疗前,两组患者的C-反应蛋白(CRP)以及白细胞计数(WBC)比较,差异无统计学意义(P>0.05);治疗后,两组患者的CRP以及WBC均低于治疗前,且引流组的CRP以及WBC低于植骨组,差异有统计学意义(P<0.05)。治疗前,两组患者的美国特种外科医院(HSS)关节评分以及视觉模拟评分法(VAS)评分比较,差异无统计学意义(P>0.05);治疗后,引流组HSS评分高于植骨组,VAS评分低于植骨组,差异有统计学意义(P<0.05)。引流组的恢复时间及住院时间短于植骨组,差异有统计学意义(P<0.05)。引流组的治疗效果优于植骨组,差异有统计学意义(P<0.05)。结论 开放植骨联合负压封闭引流能提高治疗效果,可减轻炎症反应,增强骨关节功能,对改善骨缺损患者的预后有推动作用。
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满玉强
关键词 创伤后感染性骨缺损临床分析并发症炎症指标负压封闭引流    
Abstract
Objective To evaluate the effect of open bone grafting combined with negative pressure closed drainage technology on post-traumatic infectious bone defect.Methods A total of 92 patients with post-traumatic infectious bone defects admitted to Zaozhuang Municipal Hospital from September 2020 to September 2021 were selected as the research objects,they were divided into bone graft group and drainage group according to the lottery method,with 46 cases in each group,the bone graft group was treated with open bone grafting,and the drainage group was treated with negative pressure closed drainage.Detect inflammatory indicators,observe the function and recovery of bone and joints,and calculate the validity of two groups.Results There were no significant differences in C-reactive protein(CRP)and white blood cell(WBC)between the two groups before treatment(P>0.05).After treatment,CRP and WBC of the two groups were lower than those before treatment,and the CRP and WBC of drainage group were lower than those of the bone graft group,the differences were statistically significant(P<0.05).Before treatment,there were no significant differences in Hospital for Special Surgery(HSS)score and visual analogue scale(VAS)between the two groups(P>0.05).After treatment,the HSS score in the drainage group was higher than that in the bone graft group,and the VAS score in the drainage group was lower than that in the bone graft group,the differences were statistically significant(P<0.05).The recovery time and hospital stay of the patients with bone defects in the drainage group were shorter than those in the bone graft group,and the differences were statistically significant(P<0.05).The treatment effect in the drainage group was higher than that in the bone graft group,and the difference was statistically significant(P<0.05).Conclusion Open bone grafting combined with negative pressure closed drainage can improve the treatment effectiveness,reduce inflammation,enhance bone and joint function,and promote the prognosis of patients with bone defects.
Key wordsPost-traumatic infectious bone defect    Clinical analysis    Complications    Inflammatory indicators    Negative pressure closed drainage
    
引用本文:   
满玉强. 开放植骨联合负压封闭引流技术治疗创伤后感染性骨缺损的效果[J]. 中国当代医药, 2022, 29(29): 65-68.
MAN Yuqiang. Effect of open bone grafting combined with negative pressure closed drainage technology in the treatment of post-traumatic infectious bone defect. 中国当代医药, 2022, 29(29): 65-68.
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