无创皮肤吻合器对跟骨骨折术后切口愈合的影响
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高付新(1972.3-),男,山东菏泽人,本科,主治医师,主要从事外科临床工作

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R274.1

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Effect of Non-invasive Skin Stapler on Incision Healing After Calcaneal Fracture Surgery
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    摘要:

    目的 分析无创皮肤吻合器对跟骨骨折术后切口愈合的影响。方法 选取单县时楼镇中心卫生 院2022年1月-12月收治的50例跟骨骨折手术患者,采用随机数字表法将其分为观察组和对照组,每 组2 5例。对照组行跟骨骨折内固定术,术后在踝关节周围行常规切口缝合;观察组行跟骨骨折内 固定术+无创皮肤吻合器缝合。比较两组手术指标、术后不良反应及患者满意度。结果 观察组手术 时间短于对照组,差异有统计学意义(P <0.05);观察组术后切口愈合时间短于对照组,差异有统计学 意义(P <0.05);观察组术后1、2、3 d切口美观度均优于对照组,差异有统计学意义(P <0.05);观察 组术后不良反应发生率为0,低于对照组的20.00%,差异有统计学意义(P <0.05);观察组患者满意度为 96.00%,高于对照组的88.00%,差异有统计学意义(P<0.05)。结论 无创皮肤吻合器应用于跟骨骨折患者 的手术中,可以减少手术创伤,缩短切口愈合时间,改善伤口外观,且不良反应少。

    Abstract:

    Objective To analyze the effect of non-invasive skin stapler on incision healing after calcaneal fracture surgery. Methods A total of 50 patients who underwent calcaneal fracture surgery were selected from January to December 2022 in Shilou Town Central Hospital of Shanxian, and they were divided into observation group and control group by random number table method, with 25 patients in each group. The control group underwent calcaneal fracture internal fixation, and normal incision suture was performed around the ankle joint after surgery. The observation group underwent calcaneal fracture internal fixation+noninvasive skin stapler suture. The surgical indicators, postoperative adverse reactions and patient satisfaction were compared between the two groups. Results The operation time of the observation group was shorter than that of the control group, and the difference was statistically significant (P <0.05). The postoperative incision healing time of the observation group was shorter than that of the control group, and the difference was statistically significant (P <0.05). The incision aesthetics of the observation group was better than that of the control group at 1, 2 and 3 days after operation, and the difference was statistically significant (P<0.05). The incidence of postoperative adverse reactions in the observation group was 0, which was lower than 20.00% in the control group, and the difference was statistically significant (P <0.05). The satisfaction of patients in the observation group was 96.00%, which was higher than 88.00% in the control group, and the difference was statistically significant (P <0.05). Conclusion The application of non-invasive non-invasive skin stapler can reduce the surgical trauma in patients with calcaneal fracture surgery, shorten the wound healing time, improve the appearance of the wound, and have fewer adverse reactions.

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高付新.无创皮肤吻合器对跟骨骨折术后切口愈合的影响[J].医学美学美容,2023,32(15):49-52.

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  • 在线发布日期: 2023-09-16
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