| 应用VSD治疗跟骨骨折术后伤口不愈合 |
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投稿时间：2012-05-25
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| 作者 | Author | 单位 | Address | E-Mail |
| 刘刚 |
LIU Gang |
山西太原小店中铁17局中心医院骨科,山西 太原 030032 |
Department of Orthopaedics,the Central Hospital of China Railway 17th Bureau,Taiyan 030032,Shangxi,China |
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| 潘世鹏 |
PAN Shi-peng |
山西太原小店中铁17局中心医院骨科,山西 太原 030032 |
Department of Orthopaedics,the Central Hospital of China Railway 17th Bureau,Taiyan 030032,Shangxi,China |
canmobu@163.com |
| 陈新鹏 |
CHEN Xin-peng |
山西太原小店中铁17局中心医院骨科,山西 太原 030032 |
Department of Orthopaedics,the Central Hospital of China Railway 17th Bureau,Taiyan 030032,Shangxi,China |
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| 期刊信息：《中国骨伤》2012年，第25卷，第9期，第782-784页 |
| DOI：10.3969/j.issn.1003-0034.2012.09.019 |
| 基金项目: |
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中文摘要:
目的：探讨清创VSD封闭引流技术治疗跟骨骨折术后伤口不愈合的效果.
方法：2008年6月至2011年12月,收治跟骨骨折术后伤口缺血坏死、伤口不愈合的患者11例,其中男10例,女1例;年龄21～55岁,平均39岁;病程7～9周.利用手术清创的同时联合负压封闭引流伤区灌注技术治疗,术后参考张铁良跟骨关节内骨折疗效标准评估疗效.
结果：伤区经VSD封闭引流后自体植皮均顺利愈合.11例患者术后获得随访,时间6～18个月,平均11个月,伤口无迟发感染及慢性骨髓炎发生.依据张铁良跟骨关节内骨折疗效评价标准：优6例,良4例,可1例.
结论：跟骨骨折术后伤口愈合不良联合VSD封闭引流治疗能获得满意的疗效. |
| 【关键词】跟骨 骨折 伤口愈合 负压封闭引流 |
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| Vacuum sealing drainage for the treatment of in postoperative wound disunion after calcaneal fracture |
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ABSTRACT
Objective: To explore the clinical effects of vacuum sealing drainage(VSD) in treating wound disunion after operation of fracture of calcaneus.
Methods: From June 2008 to December 2011,11 patients with fracture of calcaneus complicated with wound ischemic necrosis and disunion after operation. There were 10 males and 1 female,aged from 21 to 55 years with an average of 39 years,and the course of disease in range from 7 to 9 weeks. These patients were treated with surgical debridement and VSD technique. According to calcaneal intraarticular fracture standard of ZHANG Tie-liang to evaulate the effects.
Results: Wound area and autogeneic skin grafts healed after operation. All patients were followed up from 6 to 18 months with an average of 11 months. No wound infection and chronic osteomyelitis were found. According to above standard,6 cases got excellent results,4 good and 1 fair.
Conclusion: VSD technique in treating postoperative wound disunion of fracture of calcaneus can obtain satisfactory effects. |
| KEY WORDS Calcaneus Fractures Wound healing Vacuum sealing drainage |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 刘刚,潘世鹏,陈新鹏.应用VSD治疗跟骨骨折术后伤口不愈合[J].中国骨伤,2012,25(9):782~784 |
| 英文格式: | LIU Gang,PAN Shi-peng,CHEN Xin-peng.Vacuum sealing drainage for the treatment of in postoperative wound disunion after calcaneal fracture[J].zhongguo gu shang / China J Orthop Trauma ,2012,25(9):782~784 |
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