垂直8字紧密缝合法对跟骨骨折术后切口愈合的影响
DOI:
作者:
作者单位:

济南市人民医院

作者简介:

通讯作者:

中图分类号:

基金项目:


The effect of vertical 8-shaped tight suture on the healing of incision after calcaneal fracture
Author:
Affiliation:

Jinan People’s Hospital

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    [目的] 比较垂直8字紧密缝合法与Allg?wer-Donati缝合方法对跟骨骨折术后切口愈合和并发症的影响。[方法] 2018年1月-2021年2月,60例SandersⅢ型跟骨骨折采用跟骨外侧“L”形切口。其中垂直8字紧密缝合组31例,Allg?wer-Donati缝合组29例。计算两组手术切口周围炎性反应的面积、记录分析切口弧形拐角处的皮肤温度,比较切口愈合级别及并发症。[结果] 术前、术后第1天两组切口皮肤温度差异无统计学意义(P>0.05),术后第2天、第3天两组切口周围皮肤温度差异有统计学意义(P<0.05)。手术后2周,两组切口周围皮肤炎性反应面积差异有统计学意义(P<0.05)。垂直8字紧密缝合组切口愈合优良率90.32%(28/31);Allg?wer-Donati组68.96%(20/29) ,两组比较差异有统计学意义(P<0.05)。[结论] 应用垂直8字紧密法缝合跟骨外侧“L”形手术切口,提高切口愈合率,减少切口并发症,是一种简便有效的缝合法。

    Abstract:

    [Objective] To compare the effects of vertical figure 8 tight suture and Allg?wer-Donati suture on incision healing and complications after calcaneal fractures. [Methods] A retrospective study was conducted on 60 patients who had calcaneal fractures from January 2018 to February 2021. 60 cases were treated with an "L"-shaped incision on the lateral side of the calcaneus. Among them, there were 31 cases in the vertical figure 8 tight suture group and 29 cases in the Allg?wer-Donati suture group. The area of inflammatory reaction around the surgical incision in the two groups was calculated, the skin temperature at the curved corner of the incision was recorded and analyzed, and the degree of incision healing was compared. [Results] There was no significant difference in the skin temperature of the incision between the two groups before and on the 1st day after the operation (P>0.05). Two weeks after the operation, there was a statistically significant difference in the area of skin inflammation around the incision between the two groups (P<0.05). The excellent and good rate of incision healing in vertical figure 8 tight suture group was 90.32% (28/31), while that in Allg?wer-Donati group was 68.96% (20/29), and the difference between the two groups was statistically significant (P<0.05). [Conclusion] The vertical figure 8 tight suture method is a simple and effective suture method to improve the healing rate of the incision and reduce the complications of the incision.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2022-03-28
  • 最后修改日期:2022-03-28
  • 录用日期:2022-04-22
  • 在线发布日期:
  • 出版日期: