摘要
目的:探讨三层紧密缝合法与AD缝合法在SandersⅢ型跟骨骨折患者中的应用效果.方法:选取深圳市宝安区石岩人民医院2019年6月-2022年6月收治的60例SandersⅢ型跟骨骨折患者为研究对象,采用随机数字表法将其分为观察组与对照组,各30例.观察组术后采用三层紧密缝合法,对照组采用Allgrower-Donati(AD)缝合法.比较2组术中相关指标、术后相关指标、切口并发症发生率及术后恢复情况.结果:2组手术时间及引流时间比较,组间差异无统计学意义(P>0.05).观察组伤口缝合时间长于对照组,差异有统计学意义(P<0.05).术后3d、术后1周,2组疼痛视觉模拟(VAS)评分均低于术后1d,切口皮表温度高于术后1d,且观察组VAS评分低于对照组,切口皮表温度高于对照组,组间差异有统计学意义(P<0.05).观察组切口相关并发症发生率为3.33%,与对照组的13.33%比较,差异无统计学意义(P>0.05).2组的切口周围炎症及骨折愈合时间水平比较,组间差异无统计学意义(P>0.05).观察组切口愈合时间短于对照组,差异有统计学意义(P<0.05).结论:三层紧密缝合法与AD缝合法两种缝合方式的切口相关并发症发生率无明显差异,三层紧密缝合法能够减轻疼痛程度,缩短患者切口愈合时间,但三层紧密缝合法手术时间、缝合时间相对较长.
Objective:To investigate the application effects of three-layer tight closure and Allgrower-Donati(AD)closure in patients with SandersⅢcalcaneal fractures.Methods:60 patients with SandersⅢcalcaneal fractures treated at Shiyan People's Hospital,Baoan District,Shenzhen,from June 2019 to June 2022,were selected as the study subjects.They were randomly divided into an observation group and a control group,with 30 cases in each group.The observation group underwent postoperative three-layer tight closure,while the control group underwent Allgrower-Donati(AD)closure.The intraoperative and postoperative indicators,incision complication rates,and postoperative recovery were compared between the two groups.Results:There were no significant differences in the operation time and drainage time between the two groups(P>0.05).The wound closure time in the observation group was longer than that in the control group,and the difference was statistically significant(P<0.05).At 3 days and 1 week after surgery,the pain Visual Analog Scale(VAS)scores of both groups were lower than those at 1 day after surgery,and the skin temperature around the incision was higher than that at 1 day after surgery,and the VAS score in the observation group was lower than that in the control group,and the skin temperature around the incision was higher than that in the control group,with significant differences(P<0.05).The incidence of incision-related complications in the observation group was 3.33%,compared with 13.33%in the control group,and the difference was not statistically significant(P>0.05).There were no significant differences in the level of incisional inflammation and fracture healing time around the incision between the two groups(P>0.05).The wound healing time in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:There is no significant difference in the incidence of incision-related complications between the three-layer tight closure and AD closure methods.Three-layer tight suturing technique can alleviate the degree of pain and shorten the incision healing time for patients.However,the three-layer tight suturing technique typically has a longer surgical and suturing duration.
作者
邓军
DENG Jun(Department of orthopedics and trauma,Shiyan people's hospital,Bao'an district shenzhen,Shenzhen,Guangdong 518108)
出处
《中国伤残医学》
2024年第6期21-25,共5页
Chinese Journal of Trauma and Disability Medicine
作者简介
邓军,本科,主治医师,研究方向:创伤骨科疾病诊治。
