[1]白晶 聂姗姗 王骁汉 付磊△.跟骨骨折L形入路术后切口愈合不良的相关因素分析[J].中国中医骨伤科杂志,2021,29(05):21-24.
　BAI Jing NIE Shanshan WANG Xiaohan FU Lei.Analysis of Related Factors of Poor Wound Healing afterL-Shaped Approach for Calcaneal Fracture[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(05):21-24.
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跟骨骨折L形入路术后切口愈合不良的相关因素分析()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第29卷
期数:
2021年05期
页码:
21-24
栏目:
临床研究
出版日期:
2021-05-15

文章信息/Info

Title:
Analysis of Related Factors of Poor Wound Healing afterL-Shaped Approach for Calcaneal Fracture
文章编号:
1005-0205(2021)05-0021-04
作者:
白晶1 聂姗姗1 王骁汉2 付磊3△
1北京中医药大学第三附属医院创伤关节科(北京,100029)2北京中医药大学研究生院3中国人民解放军八十集团军医院创伤骨科四组
Author(s):
BAI Jing1 NIE Shanshan1 WANG Xiaohan2 FU Lei3△
1The Third Affiliated hospital of Beijing University of Chinese Medicine,Beijing 100029,China; 2Graduate School of Beijing University of Chinese Medicine,Beijing 100029,China; 3Trauma Orthopedics Group 4,The Chinese People’s Liberation Army 80 Group Army Hospital,Weifang 261041,Shandong China.
关键词:
跟骨骨折术后;  切口愈合不良;  因素分析
Keywords:
after surgery for calcaneal fracture;  poor wound healing;  factors analysis
分类号:
R683.42
文献标志码:
A
摘要:
目的:探讨Sanders Ⅳ型跟骨骨折采用外侧L形入路术后切口愈合不良的相关因素。方法:选取Sanders Ⅳ型跟骨骨折409例患者进行回顾性分析,切口愈合为A组,切口愈合不良为B组,将A组与B组的性别、年龄、侧别、致伤原因、是否合并糖尿病、吸烟史、手术时机、手术时间、术中是否植骨作为观察指标,采用二元回归分析影响切口愈合的因素。结果:409例中38例切口愈合不良:年龄、侧别、术中是否植骨与切口愈合不良无关,差异无统计学意义(P>0.05); 与性别、致伤原因、是否合并糖尿病、术后是否吸烟、手术时机、手术时间有关,差异有统计学意义(P<0.05)。结论:Sanders Ⅳ型跟骨骨折切口愈合不良是一个综合问题,女性、高处坠落伤、合并糖尿病、术后吸烟、手术时机短、手术时间长是切口愈合不良的高危因素,但是性别、致伤原因非人为因素,不可控。围手术期严格控制血糖、严格戒烟,选择伤后7～10 d手术,术前制定详细的手术计划,术中由经验丰富的医师操作,缩短手术时间,可减少切口愈合不良的发生。
Abstract:
To investigate the related factors about poor healing of incision after sanders type Ⅳ calcaneal fracture using lateral L-shaped approach.Methods:A total of 409 patients with sanders type Ⅳ calcaneal fracture were selected for retrospective analysis.Group A was designed for patients whose incision has healed; group B was designed for patients who have poor healing of incision.The observation indicators for group A and B included gender,age,side factor,cause of injury,diabetes mellitus,smoking history,operative opportunity,operation time,and whether or not did intraoperative bone grafting during surgery.Binary regression analysis was used to analyze factors affecting incision healing.Results:Among the 409 cases,38 of the incisions were poorly healed; age,side factors,and whether bone grafting during the operation were not related to poor incision healing.The difference was not statistically significant(P>0.05).However,it was related to gender,cause of injury,diabetes mellitus,postoperative smoking,operative opportunity,operation time,the difference was statistically significant(P<0.05).Conclusion:Poor healing of Sanders Ⅴ calcaneal fracture incision is a comprehensive problem.Female,falling injuries,diabetes,smoking after operation,short operation time and long operation time are high risk factors for poor wound healing.However,gender and cause of injury are not human factors and cannot be controlled.Strict control of blood sugar and smoking cessation during perioperative period,operation 7 to 10 d after injury,detailed operation plan before operation and operation by experienced doctors can reduce the occurrence of poor wound healing.

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备注/Memo

备注/Memo:
基金项目:北京中医药大学校级课题青年教师项目(2019-JYB-JS-159)
△通信作者 E-mail:felix8989@126.com
更新日期/Last Update: 2021-05-15