| 人?工?全?膝?关?节?置?换?术?后??切?口?愈?合?不?良?的?预防 |
|
摘要点击次数: 64
全文下载次数: 0
投稿时间：2018-08-28 修订日期：2018-12-26
|
|
|
| 期刊信息：《中国骨伤》年，第卷，第期，第-页 |
| DOI： |
| 基金项目: |
|
| 中文摘要:目的 探讨人工全膝关节置换术(total knee arthroplasty TKA)后切口愈合不良的原因,并提出积极的预防和治疗措施。方法 将2016-09—2018-06单侧 TKA患者284例纳入研究，分为对照组和观察组。首先回顾分析2016-09—2017-06共150单侧TKA患者并纳入对照组，男性41例，女性109例，年龄52—76岁，平均63.5±7.2岁，均采用传统的围手术期处理和手术方式，观察切口愈合情况并从患者自身及手术技术方面探讨切口愈合不良发生原因，总结分析后提出改善措施，将2017-07—2018-06的TKA患者134例纳入观察组，男性36例，女性98例，年龄54—79岁，平均年龄62.4±8.9岁，采用改进的治疗管理和手术策略进行治疗并进行分析总结。结果 对照组分析发现，切口愈合不良9例（6%），观察组愈合不良1例（0.75%），采用SPSS18.0软件，年龄资料以（ ±s）表示，采用配对t检验，性别、切口愈合不良资料采用单因素方差分析进行比较，P﹤0.05有统计学意义。结果显示两组患者年龄、性别无统计学差异，而切口愈合不良发生率比较，?2=5.750，P＜0.01，具有显著统计学意义。结论 预防TKA术后切口愈合不良应做好围手术期处理，改善手术细节，做到稳、准、快速、干净，减少切口并发症，提高患者的康复速度。 |
| 【关键词】人工全膝关节置换 切口愈合不良 预防 |
| |
| Prevention of poor incision healing after total knee arthroplasty#$NLZhang-qichuan, Wang-sufang Wang-yunfeng, Du-yunfei,#$NLDepartment of joint surgery, fourth clinical college, xinxiang medical college#$NLNo. 56 Jinsui Avenue, Xinxiang City, Henan Province, 453000 |
|
| ABSTRACT Objective To investigate the causes of poor incision healing after total knee arthroplasty(TKA) and to propose preventive and therapeutic measures. Methods 284 patients with 2016-09 - 2018-06 unilateral TKA were enrolled in the study. They were divided into control group and observation group. Firstly, 150 patients with unilateral TKA from September 2016 to June 2017 were retrospectively analyzed and included in the control group. There were 41 males and 109 females, with an average age of(63.5±7.2) years old. The causes of poor incision healing were discussed about patients themselves and surgical techniques. After analyzing, improvement measures were proposed. 134 patients with TKA from July 2017 to June 2018 were included in the observation group. There were 36 males and 98 females, with an average age of(62.4±8.9) years old. They were treated with improved treatment strategies. Results 9 cases (6%) had poor incision healing in control group and 1 case (0.75%) had poor incision healing in observation group. SPSS18.0 software was used to analysis these data. Age were expressed as（ ±s）. Paired t test was used to compare the data. One-way ANOVA was used to compare the data of gender and poor incision healing. There is statistical significance between the two groups when P<0.05. The results showed that there was no significant difference in age and sex between the two groups. The incidence of poor incision healing was statistically significant between the two groups (?2=5.750, P < 0.01). Conclusion To prevent the poor incision healing after TKA, perioperative management should be done well, the details of operation should be improved, so as to be stable, accurate, rapid and clean, reduce the complications of incision and improve the recovery rate of patients. |
| KEY WORDS total knee arthroplasty (TKA) poor incision healing prevention |
| |
| 引用本文，请按以下格式著录参考文献： |
|
|
| 阅读全文 下载 查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
