| 人工全膝关节置换术后切口愈合不良的预防 |
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投稿时间：2018-12-26
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| 作者 | Author | 单位 | Address | E-Mail |
| 张其川 |
ZHANG Qi-chuan |
新乡医学院第四临床学院关节外科, 河南 新乡 453000 |
Department of Joint Surgery, the Fourth Clinical College of Xinxiang Medical University, Xinxiang 453000, Henan, China |
master-zqc@163.com |
| 王素芳 |
WANG Su-fang |
新乡医学院第四临床学院关节外科, 河南 新乡 453000 |
Department of Joint Surgery, the Fourth Clinical College of Xinxiang Medical University, Xinxiang 453000, Henan, China |
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| 王云峰 |
WANG Yun-feng |
新乡医学院第四临床学院关节外科, 河南 新乡 453000 |
Department of Joint Surgery, the Fourth Clinical College of Xinxiang Medical University, Xinxiang 453000, Henan, China |
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| 杜云飞 |
DU Yun-fei |
新乡医学院第四临床学院关节外科, 河南 新乡 453000 |
Department of Joint Surgery, the Fourth Clinical College of Xinxiang Medical University, Xinxiang 453000, Henan, China |
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| 期刊信息：《中国骨伤》2019年，第32卷，第12期，第1134-1137页 |
| DOI：10.3969/j.issn.1003-0034.2019.12.013 |
| 基金项目: |
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中文摘要:
目的：探讨人工全膝关节置换术后切口愈合不良的原因，并提出积极的预防和治疗措施。
方法：将自2016年9月至2018年6月行单侧全膝关节置换术患者284例纳入研究，分为对照组和观察组。首先回顾分析2016年9月至2017年6月共150例单侧全膝关节置换术患者并纳入对照组，男41例，女109例；年龄52~76（63.5±7.2）岁；均采用传统的围手术期处理和手术方式，观察切口愈合情况并从患者自身及手术技术方面探讨切口愈合不良发生原因，总结分析后提出改善措施。将2017年7月至2018年6月的全膝关节置换术患者134例纳入观察组，男36例，女98例；年龄54~79（62.4±8.9）岁；采用改进的治疗管理和手术策略进行治疗并进行分析总结。
结果：对照组切口愈合不良9例（6%），观察组切口愈合不良1例（0.75%），观察组切口愈合不良率低于对照组（χ2=5.750，P<0.01）。
结论：预防全膝关节置换术后切口愈合不良应做好围手术期处理，改善手术细节，做到稳、准、快速、干净，减少切口并发症，提高患者的康复速度。 |
| 【关键词】关节成形术,置换,膝 围手术期 手术后并发症 |
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| Prevention of poor incision healing after total knee arthroplasty |
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ABSTRACT
Objective: To investigate the causes of poor incision healing after total knee arthroplasty(TKA) and to propose active preventive and therapeutic measures.
Methods: Total 284 patients undergoing unilateral TKA from September 2016 to June 2018 were enrolled in the study and divided into control group and observation group. Firstly,150 patients with unilateral TKA from September 2016 to June 2017 were retrospectively analyzed and included in the control group. There were 41 males and 109 females,with an average age of(63.5±7.2) years old. The causes of poor incision healing were discussed about patients themselves and surgical techniques. After analyzing,improvement measures were proposed. Total 134 patients with TKA from July 2017 to June 2018 were included in the observation group. There were 36 males and 98 females,with an average age of(62.4±8.9) years old. The patients in the observation group were treated with improved treatment strategies.
Results: Nine patients(6%) had poor incision healing in the control group and 1 patient (0.75%) had poor incision healing in the observation group. The incidence of poor incision healing was significantly different between the two groups (χ2=5.750,P<0.01).
Conclusion: In order to prevent the poor incision healing after TKA,perioperative management and the operation techniques including stable,accurate,rapid and clean skills should be improved,leading to reduce the complications of incision and improve the recovery rate of patients. |
| KEY WORDS Arthroplasty,replacement,knee Perioperative period Postoperative complications |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张其川,王素芳,王云峰,杜云飞.人工全膝关节置换术后切口愈合不良的预防[J].中国骨伤,2019,32(12):1134~1137 |
| 英文格式: | ZHANG Qi-chuan,WANG Su-fang,WANG Yun-feng,DU Yun-fei.Prevention of poor incision healing after total knee arthroplasty[J].zhongguo gu shang / China J Orthop Trauma ,2019,32(12):1134~1137 |
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