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[1]張玉科,陳永洪,謝東波,等.敏感性皮膚與踝關(guān)節(jié)骨折切開復(fù)位內(nèi)固定術(shù)后并發(fā)切口感染、皮膚壞死關(guān)系的臨床研究[J].中醫(yī)正骨,2021,33(04):28-31.
　ZHANG Yuke,CHEN Yonghong,XIE Dongbo,et al.A clinical study on the relationship between sensitive skin and incidence rates of incision infection and skin necrosis after surgery of open reduction and internal fixation for treatment of ankle fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(04):28-31.
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敏感性皮膚與踝關(guān)節(jié)骨折切開復(fù)位內(nèi)固定術(shù)后并發(fā)切口感染、皮膚壞死關(guān)系的臨床研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期數(shù):
2021年04期
頁(yè)碼:
28-31
欄目:
臨床研究
出版日期:
2021-04-20

文章信息/Info

Title:
A clinical study on the relationship between sensitive skin and incidence rates of incision infection and skin necrosis after surgery of open reduction and internal fixation for treatment of ankle fractures
作者:
張玉科; 陳永洪; 謝東波; 莫玉富; 張鵬翼; 郭世濤
(宜賓市中西醫(yī)結(jié)合醫(yī)院,四川 宜賓 644100)
Author(s):
ZHANG Yuke; CHEN Yonghong; XIE Dongbo; MO Yufu; ZHANG Pengyi; GUO Shitao
Yibin Integrated Traditional Chinese and Western Medicine Hospital,Yibin 644100,Sichuan,China
關(guān)鍵詞:
踝關(guān)節(jié);  骨折; 閉合性;  骨折固定術(shù); 內(nèi);  敏感性皮膚;  手術(shù)后并發(fā)癥
Keywords:
ankle joint;  fractures; closed;  fracture fixation; internal;  sensitive skin;  postoperative complcations
摘要:
目的:探討敏感性皮膚與踝關(guān)節(jié)骨折切開復(fù)位內(nèi)固定術(shù)后并發(fā)切口感染、皮膚壞死的關(guān)系。方法:選擇2014年1月至2019年12月接受常規(guī)入路切開復(fù)位內(nèi)固定治療的踝關(guān)節(jié)骨折患者為研究對(duì)象。根據(jù)Baumann敏感性-耐受性皮膚分類法將入組患者分為敏感性皮膚組和耐受性皮膚組。隨訪記錄相關(guān)指標(biāo),比較2組患者切口感染、皮膚壞死的發(fā)生率以及2組并發(fā)皮膚壞死患者的壞死皮膚面積、切口愈合時(shí)間、抗生素使用時(shí)間。結(jié)果:共納入321例踝關(guān)節(jié)骨折患者,敏感性皮膚組115例,耐受性皮膚組206例。敏感性皮膚組術(shù)后切口感染發(fā)生率和皮膚壞死發(fā)生率均高于耐受性皮膚組(χ2=5.716,P=0.017; χ2=16.759,P=0.000); 敏感性皮膚組中并發(fā)皮膚壞死患者的壞死皮膚面積、切口愈合時(shí)間、抗生素使用時(shí)間均大于(或長(zhǎng)于)耐受性皮膚組中并發(fā)皮膚壞死患者[(12.29±6.81)cm2,(8.35±3.39)cm2,t=2.189,P=0.037;(12.67±4.91)d,(6.50±2.17)d,t=4.915,P=0.000;(19.80±6.93)d,(12.50±3.74)d,t=3.693,P=0.002]。結(jié)論:敏感性皮膚患者與耐受性皮膚患者相比,踝關(guān)節(jié)骨折切開復(fù)位內(nèi)固定術(shù)后切口感染、皮膚壞死的發(fā)生率均較高,且壞死皮膚面積更大、愈合更加困難。
Abstract:
To explore the relationship between sensitive skin and incidence rates of incision infection and skin necrosis after surgery of open reduction and internal fixation for treatment of ankle fractures.Methods:The patients who received open reduction and internal fixation through conventional approaches for treatment of ankle fractures from January 2014 to December 2019 were selected as the subjects,and were divided into sensitive skin group and tolerant skin group according to Baumann sensitivity-tolerance skin type classification.The related indicators were recorded at follow-up visits.The incidence rates of postoperative incision infection and skin necrosis and the skin necrotic area,incision healing time and duration of antibiotic use of postoperative patients who suffered skin necrosis were compared between the 2 groups.Results:Three hundred and twenty-one patients were enrolled in the study,115 cases in sensitive skin group and 206 cases in tolerant skin group.The incidence rates of postoperative incision infection and skin necrosis were higher in sensitive skin group compared to tolerant skin group(χ2=5.716,P=0.017; χ2=16.759,P=0.000).The skin necrotic area was larger,and the incision healing time and duration of antibiotic use were longer in sensitive skin group compared to tolerant skin group in postoperative patients who suffered skin necrosis(12.29±6.81 vs 8.35±3.39 cm(2),t=2.189,P=0.037; 12.67±4.91 vs 6.50±2.17 days,t=4.915,P=0.000; 19.80±6.93 vs 12.50±3.74 days,t=3.693,P=0.002).Conclusion:The incidence rates of postoperative incision infection and skin necrosis are higher in sensitive skin patients compared to tolerant skin patients after the surgery of open reduction and internal fixation for treatment of ankle fractures,and the skin necrotic area is larger and skin healing is more difficult in the former.

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通訊作者:張玉科 E-mail:[email protected]
更新日期/Last Update: 1900-01-01