间歇性充气加压 (IPC) 对跟腱断裂术后并发症的影响
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山东第一医科大学第二附属医院

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泰安市科技创新发展项目


Effect of intermittent pneumatic compression (IPC) on postoperative complications of Achilles tendon rupture
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The Second Affiliated Hospital of Shandong First Medical University

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    摘要:

    [目的] 研究IPC治疗对跟腱并发症的影响以及DVT发生率,探究降低跟腱术后DVT发生率的可靠方法。[方法] 2020—2022年手术治疗急性跟腱断裂114例。其中55例术后采用IPC治疗(IPC组),59例术后采用常规治疗(常规组)。比较两组术后DVT发生率及术后并发症。[结果] 两组患者均顺利完成手术。IPC组在2周后DVT发生率明显低于常规组(P<0.05),4周后DVT发生率与常规组无统计学差异(P>0.05)。两组术后并发症发生率的差异无统计学意义(P>0.05)。[结论] IPC治疗即使在下肢固定的情况下,也能够有效降低DVT的发生,同时对切口感染及腓肠神经无明显影响。

    Abstract:

    [Objective] To study the effect of IPC treatment on Achilles tendon complications and the incidence of DVT, and to explore a reliable method to reduce the incidence of DVT after Achilles tendon surgery. [Methods] Surgical treatment of 114 cases of acute Achilles tendon rupture from 2020 to 2022. Among them, 55 cases received IPC treatment after the operation (IPC group), and 59 cases received conventional treatment after the operation (traditional group). The perioperative and follow-up data were compared between the two groups. [Results]The operation was completed in both groups. The incidence of DVT after 2 weeks of IPC was significantly lower than that of the traditional group (P<0.05), and the incidence of DVT after 4 weeks was not significantly different from that of the traditional group (P>0.05). There was no significant difference in the incidence of postoperative complications between the two groups (P>0.05). [Conclusion]IPC treatment can effectively reduce the occurrence of DVT even when the lower limbs are fixed, and has no significant effect on incision infection and the sural nerve.

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  • 收稿日期:2023-02-22
  • 最后修改日期:2023-02-22
  • 录用日期:2023-03-07
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