Allgower-Donati缝合法对跟骨骨折术后切口愈合的影响

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摘要目的分析两种不同的缝合方法对跟骨骨折术后切口愈合的影响。方法选取2015年1月—2018年12月在安徽省界首市人民医院行骨折切开复位内固定的62例跟骨骨折患者，根据切口缝合方法不同分为实验组（31例）和对照组（31例），实验组采用Allgower-Donati缝合法，对照组采用间断垂直褥式缝合法。比较两组患者的手术时间、切口缝合时间、切口周围皮肤炎症反应面积、切口皮肤温度差值和切口愈合情况。结果两组患者均顺利完成手术，实验组切口缝合时间短于对照组，差异有统计学意义（P ＜ 0.05）。实验组切口周围皮肤炎症反应面积显著小于对照组，差异有统计学意义（P ＜ 0.05）。两组患者切口皮肤温度差值时间和组间比较，差异有统计学意义（P ＜ 0.05）。其中，实验组与对照组术后第3天切口皮肤温度差值低于术后第1、2天，且术后第2天低于术后第1天，差异有统计学意义（P ＜ 0.05）；术后第2、3天实验组皮肤温度差值均低于对照组，差异有统计学意义（P ＜ 0.05）。两组患者并发症发病率比较，差异无统计学意义（P ＞ 0.05）。结论相对传统的垂直褥式缝合法，应用Allgower-Donati缝合法处理的跟骨骨折患者“L”形切口，切口缝合时间更短，切口周围皮肤炎症反应面积更小，值得推广。

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	周晓东1 张维龙1 李军2

关键词 ：跟骨, 骨折, 内固定, 并发症, 缝合技术

Abstract：Objective To analyze the effects of two different suture methods on the healing of incisions after calcaneal fracture surgery. Methods A total of 62 patients with calcaneal fractures who underwent open reduction and internal fixation at Jieshou City People Hospital from January 2015 to December 2018 were selected. According to different incision suture methods, they were divided into experimental group (31 cases) and control group (31 cases). The experimental group was used Allgower-Donati suture, while the control group was used intermittent vertical mattress suture. The operation time, incision suture time, inflammatory reaction area of the skin around the incision, the differences in incision skin temperature and the healing of the incision were compared between the two groups. Results Both groups of patients successfully completed the operation. The incision suture time of the experimental group was shorter than that of the control group, and the difference was statistically significant (P ＜ 0.05). The inflammation reaction area of the skin around the incision in the experimental group was significantly smaller than that in the control group, and the difference was statistically significant (P ＜ 0.05). The differences in incision skin temperature between the two groups were statistically significant in different time and between groups (P ＜ 0.05). Among them, the differences in incision skin temperature between the experimental group and the control group on the third day after surgery were lower than those on the first and second days after surgery, while the difference on the second day after surgery was lower than that on the first day after surgery, and the differences were statistically significant (P ＜ 0.05); the differences in skin temperature of the experimental group were lower than those of the control group on the second and third day after surgery, and the differences were statistically significant (P ＜ 0.05). There was no significant difference in the incidence of complications between the two groups (P ＞ 0.05). Conclusion Compared with the traditional vertical mattress suture method, the Allgower-Donati suture method is used to treat the “L”-shaped incision in patients with calcaneal fractures. The incision suture time is shorter and the area of skin inflammation around the incision is smaller. It is worthy of promotion.

Key words： Calcaneus Fracture Internal fixation Complications Suture techniques

基金资助:国家自然科学基金青年科学基金项目（81702656）；
安徽省重点研究与开发计划项目（201904b11020032）；
安徽省自然科学基金青年科学基金项目（1708085QH221）。

通讯作者: 李军（1987.1-），男，博士，副主任医师，硕士生导师；研究方向：四肢创伤，关节置换。

作者简介: 周晓东（1971.5-），男，副主任医师；研究方向：四肢创伤，关节置换。

引用本文:

周晓东1 张维龙1 李军2. Allgower-Donati缝合法对跟骨骨折术后切口愈合的影响[J]. 中国医药导报, 2020, 17(24): 8-11.
ZHOU Xiongdong1 ZHANG Weilong1 LI Jun2. Effect of Allgower-Donati addition method on the initial healing of calcaneal fracture. 中国医药导报, 2020, 17(24): 8-11.

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