改良负压封闭引流技术治疗小腿中下段顽固性窦道
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刘军 LIU Jun 无锡市第九人民医院 无锡市手外科医院骨科,江苏 无锡 214062 Department of Orthopaedics,the 9th People's Hospital of Wuxi,Hospital of Hand Surgery,Wuxi 214062,Jiangsu,China liujun-jiangxin@163.com 
孙振中 SUN Zhen-zhong 无锡市第九人民医院 无锡市手外科医院骨科,江苏 无锡 214062 Department of Orthopaedics,the 9th People's Hospital of Wuxi,Hospital of Hand Surgery,Wuxi 214062,Jiangsu,China  
芮永军 RUI Yong-jun 无锡市第九人民医院 无锡市手外科医院骨科,江苏 无锡 214062 Department of Orthopaedics,the 9th People's Hospital of Wuxi,Hospital of Hand Surgery,Wuxi 214062,Jiangsu,China  
寿奎水 SHOU Kui-shui 无锡市第九人民医院 无锡市手外科医院骨科,江苏 无锡 214062 Department of Orthopaedics,the 9th People's Hospital of Wuxi,Hospital of Hand Surgery,Wuxi 214062,Jiangsu,China  
王建兵 WANG Jian-bing 无锡市第九人民医院 无锡市手外科医院骨科,江苏 无锡 214062 Department of Orthopaedics,the 9th People's Hospital of Wuxi,Hospital of Hand Surgery,Wuxi 214062,Jiangsu,China  
马运宏 MA Yun-hong 无锡市第九人民医院 无锡市手外科医院骨科,江苏 无锡 214062 Department of Orthopaedics,the 9th People's Hospital of Wuxi,Hospital of Hand Surgery,Wuxi 214062,Jiangsu,China  
韦旭明 WEI Xu-ming 无锡市第九人民医院 无锡市手外科医院骨科,江苏 无锡 214062 Department of Orthopaedics,the 9th People's Hospital of Wuxi,Hospital of Hand Surgery,Wuxi 214062,Jiangsu,China  
宋升 SONG Sheng 无锡市第九人民医院 无锡市手外科医院骨科,江苏 无锡 214062 Department of Orthopaedics,the 9th People's Hospital of Wuxi,Hospital of Hand Surgery,Wuxi 214062,Jiangsu,China  
盛鹏 SHENG Peng 无锡市第九人民医院 无锡市手外科医院骨科,江苏 无锡 214062 Department of Orthopaedics,the 9th People's Hospital of Wuxi,Hospital of Hand Surgery,Wuxi 214062,Jiangsu,China  
期刊信息:《中国骨伤》2012年,第25卷,第10期,第861-863页
DOI:10.3969/j.issn.1003-0034.2012.10.018
基金项目:
中文摘要:

目的:探讨改良负压封闭引流技术治疗小腿中下段顽固性窦道的疗效.

方法:2010年1月至2011年12月,11例小腿中下段顽固性窦道的患者,男7例,女4例;年龄23~56岁,平均34.5岁;采用彻底病灶清理后持续闭合灌洗结合改良负压封闭引流技术治疗,治疗14~21 d后拆除负压封闭引流装置行2次扩创缝合.

结果:术后感染得到控制,小腿中下段窦道均顺利愈合.11例患者均获随访,时间6~14个月,平均10个月,未见复发.

结论:改良负压封闭引流技术是治疗小腿中下段顽固性窦道一种有效方法.
【关键词】负压封闭引流  胫骨  骨髓炎  感染
 
Treatment of refractory sinus in the lower leg with modified VSD technique
ABSTRACT  

Objective:To investigate the effects of modified vacuum sealing drainage(VSD) technique in treating refractory sinus in the lower leg.

Methods:From January 2010 to December 2011,11 patients with refractory sinus in the lower leg,including 7 males and 4 females,with an average age of 34.5 years(ranged,23 to 56). These patients were treated with modified VSD technique after thorough cleaning sinus and continuous washing. After 14 to 21 days of treatment,removed VSD and re-debrided the sinus and sutured wound.

Results:Infections got control after operation,sinus in the lower leg healed. All patients were followed up from 6 to 14 months with an average of 10 months,no recidivations were found.

Conclusion:Modified VSD technique is an effective method in the treatment of stubborn sinus in the lower leg.
KEY WORDS  Vacuum sealing drainage  Tibia  Osteomyelitis  Infection
 
引用本文,请按以下格式著录参考文献:
中文格式:刘军,孙振中,芮永军,寿奎水,王建兵,马运宏,韦旭明,宋升,盛鹏.改良负压封闭引流技术治疗小腿中下段顽固性窦道[J].中国骨伤,2012,25(10):861~863
英文格式:LIU Jun,SUN Zhen-zhong,RUI Yong-jun,SHOU Kui-shui,WANG Jian-bing,MA Yun-hong,WEI Xu-ming,SONG Sheng,SHENG Peng.Treatment of refractory sinus in the lower leg with modified VSD technique[J].zhongguo gu shang / China J Orthop Trauma ,2012,25(10):861~863
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