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目的分析负压封闭引流(VSD)技术对于烧伤合并胫腓骨开放性骨折的临床效果。方法选择37例烧伤合并胫腓骨开放骨折的患者并分为观察组20例,对照组17例,分析比较传统清创换药并二期内固定、植皮等(对照组)治疗方式与负压封闭引流后一期内固定并二期植皮等(观察组)治疗方式的临床效果及并发症发生情况。结果①经比较,观察组植皮前所需时间、创面愈合时间均明显快于对照组(P﹤0.05),差异有统计学意义;两组患者骨折愈合时间差异无统计学意义(P﹥0.05)。②并发症如肌腱坏死、局部皮肤瘙痒过敏、局部感染等,观察组发生率明显低于对照组(P﹤0.05),差异有统计学意义。结论 VSD治疗方法缩短了治疗时间,减少了治疗期间的并发症发生率,降低了患者的痛苦,值得推广应用。
Objective To analyze the clinical effect of negative pressure closed drainage (VSD) on open fractures of tibia and fibula. Methods Thirty-seven patients with open fractures of tibia and fibula were divided into observation group (n = 20) and control group (n = 17). Analysis and comparison of conventional debridement dressing and second-stage internal fixation and skin grafting (control group) The clinical effect and complication of the treatment in the first stage after drainage and the second stage of skin grafting (observation group). Results ①The time before skin grafting and wound healing time in the observation group were significantly faster than those in the control group (P <0.05), and the difference was statistically significant. There was no significant difference in fracture healing time between the two groups (P> 0.05) . ②Complications such as tendon necrosis, pruritus and local skin allergy, local infection, the incidence of the observation group was significantly lower than the control group (P <0.05), the difference was statistically significant. Conclusion VSD treatment method shortens the treatment time, reduces the incidence of complications during treatment, reduces the suffering of patients, and is worth popularizing and applying.