Sponsor
  • ·
  • Chinese Association of
    Integrative Medicine;
    China Academy of Chinese
    Medicine Sciences
Editing
  • ·
  • Editorial Board of
    China Journal of
    Orthopaedics and Traumatology
Publishing
  • ·
  • Publishing House,
    China Journal of
    Orthopaedics and Traumatology
Overseas Distributor
  • ·
  • China International Book
    Trading Corporation
    P.O.Box 399,Beijing,China
    Code No.M587
Mail-order
  • ·
  • Publishing House,
    China Journal of
    Orthopaedics and Traumatology
    No.16A, Nanxiaojie, Dongzhimennei,
    Beijing 100700,China
    Tel:0086-10-84020925
    Fax:0086-10-84036581
    Http://www.zggszz.com
    E-mail:zggszz@sina.com
跟骨骨折术后伤口并发症可疑因素研究
Hits: 2588   Download times: 1533   Received:December 09, 2005    
作者Author单位UnitE-Mail
黄俊伍 HUANG Jun-wu 上海交通大学附属第六人民医院金山分院骨科,上海201500 Department of Orthopaedics,Jinshan Hospital of the 6th Affiliated Hospital of Shanghai Jiaotong University,Shanghai 201500,China huangjiawu@citiz.net 
罗轶 LUO Yi 上海交通大学附属第六人民医院金山分院骨科,上海201500 Department of Orthopaedics,Jinshan Hospital of the 6th Affiliated Hospital of Shanghai Jiaotong University,Shanghai 201500,China  
罗从风 LUO Cong-feng 上海交通大学附属第六人民医院金山分院骨科,上海201500 Department of Orthopaedics,Jinshan Hospital of the 6th Affiliated Hospital of Shanghai Jiaotong University,Shanghai 201500,China  
期刊信息:《中国骨伤》2006年19卷,第6期,第358-359页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:探讨引起跟骨骨折术后伤口并发症的可疑因素。

方法:回顾2000年3月-2003年3月,56例行跟骨骨折切开复位内固定的患者,对其一般情况、延迟手术天数、手术时间、止血带使用时间等可疑因素进行详细记录、分析、总结。56例中男49例,女7例;年龄26~55岁,平均42岁。

结果:56例61个跟骨手术后有9个(14.8%)出现了伤口感染、血肿、切口裂开、足跟坏死、慢性骨髓炎等并发症。坠落高度大于4.5m(P<0.005)、延期手术时间较短(P<0.05)、手术时间较长(P<0.05)及止血带使用时间较长(P<0.01),这些可能是引起并发症的可疑因素。

结论:在骨折后7~10d行手术治疗、缩短手术及止血带时间,可以降低手术后伤口并发症的产生。
[关键词]:跟骨  骨折  手术后并发症
 
Study on high risk factors of postoperative complications in the treatment of calcaneal fracture
Abstract:

Objective:To explore high risk factors contributing to postoperative complications in the treatment of calcaneal fracture.

Methods:56 patients with calcaneal fractures, treated with open reduction and internal fixation from March 2000 to March 2003,were reviewed in the study.Among them,49 were male and 7 were femal,ranging in age from 26 to 55 years(mean 42 years).Such related factors as common conditions,delayed operation times,operation time and tourniquet-using time were recorded and analyzed.

Results:Among 56 patients(61 calcaneus),9 calcaneus(14.8%)had follow complications:wound infection,hematom,disruption of wound,heel necrosis and chronic osteomyelitis.The following risk factors maybe be the causation of postoperative complications:①the height of falling more than 4.5 m (P<0.005);②delayed operation time less than 7 days (P<0.05);③operation time more than 2 h(P<0.05);④tourniquet-using time more than 1.5 h(P<0.01).

Conclusion:If the operation is performed at 7 to 10 days after fracture,and the operation and tourniquet-using time are shortened,the postoperative complications can be decreased.
KEYWORDS:Calcaneus  Fractures  Postoperative complications
 
引用本文,请按以下格式著录参考文献:
中文格式:黄俊伍,罗轶,罗从风.跟骨骨折术后伤口并发症可疑因素研究[J].中国骨伤,2006,19(6):358~359
英文格式:HUANG Jun-wu,LUO Yi,LUO Cong-feng.Study on high risk factors of postoperative complications in the treatment of calcaneal fracture[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(6):358~359
View Full Text  View/Add Comment  Download reader
Close




版权所有:Editorial Office of China Journal of Orthopaedics and Traumatology京ICP备12048066号  版权声明
地址:No.16A, Nanxiaojie, Dongzhimennei, Beijing 100700, China
电话:0086-10-84036581 传真:0086-10-84036581 Email:zggszz@sina.com