本文關(guān)鍵詞： 人類免疫缺陷病毒 骨折 切口愈合 內(nèi)固定　出處：《中國矯形外科雜志》2017年02期 　論文類型：期刊論文

【摘要】：[目的]探討人類免疫缺陷病毒(human immunodeficiency virus,HIV)陽性青年男性患者四肢閉合骨折行切開復(fù)位鋼板螺釘內(nèi)固定術(shù)后切口延遲愈合發(fā)生率,以及探究這類患者術(shù)后切口延遲愈合的危險(xiǎn)因素。[方法]對2012年5月~2014年12月于本院因明確外傷所致四肢閉合性骨折并行切開復(fù)位鋼板螺釘內(nèi)固定術(shù)的52例HIV陽性青年男性患者進(jìn)行回顧性分析。根據(jù)患者切口愈合情況分為切口延遲愈合組和正常愈合組,分別記錄患者年齡,骨折部位,切口長度,切口縫合方式,手術(shù)時(shí)間,外周血CD4+T細(xì)胞計(jì)數(shù),血紅蛋白,血清白蛋白等,記錄這類患者術(shù)后切口延遲愈合的發(fā)生率,比較兩組間以上各因素的差異性,探究與切口延遲愈合相關(guān)的危險(xiǎn)因素。[結(jié)果]52例患者均成功接受切開復(fù)位鋼板螺釘內(nèi)固定術(shù),手術(shù)順利,未見明顯手術(shù)及麻醉并發(fā)癥發(fā)生。術(shù)后切口延遲愈合的發(fā)生率為26.92%(14例),其中發(fā)生切口裂開12例(23.07%),發(fā)生切口脂肪液化2例(3.85%)。與正常愈合組相比,延遲愈合組下肢骨折和皮內(nèi)縫合的比率較高(下肢骨折78.57%vs 44.74%,皮內(nèi)縫合71.43%vs 39.47%),切口相對較長[(7.79±1.80)cm vs(6.87±1.67)cm],術(shù)前外周血CD4+T細(xì)胞計(jì)數(shù)200 cells/mm3的比率較高(21.43%vs 0%),外周血白細(xì)胞計(jì)數(shù)較低[(5.98±1.78)×109/L vs(7.30±1.21)×109/L],血清白蛋白水平較低[(34.07±3.60)g/L vs(38.53±4.32)g/L],血紅蛋白水平較低[(100.43±9.62)g/L vs 107.08±9.34)g/L]。[結(jié)論]HIV陽性青年男性患者四肢閉合骨折行切開復(fù)位內(nèi)固定術(shù)后切口延遲愈合的發(fā)生率為26.92%,且延遲愈合的發(fā)生與手術(shù)部位、切口長度、切口縫合方式、術(shù)前外周血CD4+T細(xì)胞計(jì)數(shù)、白細(xì)胞計(jì)數(shù)、血紅蛋白以及血清白蛋白水平等因素相關(guān)。
[Abstract]:[Objective] to investigate the human immunodeficiency virus of human immunodeficiency virus. The incidence of delayed wound healing after open reduction plate and screw fixation and the risk factors of delayed wound healing were investigated in HIV-positive young male patients with closed fracture of extremities. [Methods] from May 2012 to December 2014, 52 young male patients with HIV positive were treated with open reduction, plate and screw internal fixation for closed fracture of extremities caused by definite trauma in our hospital. According to the wound healing condition, the patients were divided into two groups: delayed wound healing group and normal healing group. Age, fracture site, incision length, incision suture, operation time, peripheral blood CD4 T cell count, hemoglobin and serum albumin were recorded. The incidence of delayed wound healing was recorded, the differences of above factors between the two groups were compared, and the risk factors related to delayed wound healing were explored. [Results: 52 patients were successfully treated with open reduction, plate and screw internal fixation, and the operation was successful. There were no obvious complications of operation and anesthesia. The incidence of delayed healing of incision was 26.92 cases, of which 12 cases had incision rupture (23.07%). The rate of lower extremity fracture and intradermal suture in delayed healing group was higher than that in normal healing group (78.57 vs 44.74%). Intradermal suture 71.43 vs 39.47. The incision is relatively long. [7.79 鹵1.80cm. vs(6.87 鹵1.67cm. The ratio of peripheral blood CD4 T cell count 200 cells/mm3 before operation was higher than 21.43% vs 0%, and the peripheral white blood cell count was lower. [5. 98 鹵1. 78) 脳 10 ~ 9 / L vs(7.30 鹵1. 21 脳 10 ~ 9 / L] and lower serum albumin levels. [34.07 鹵3.60 g / L vs(38.53 鹵4.32 g / L, lower hemoglobin level. [100.43 鹵9.62 g / L vs 107.08 鹵9.34 g / L]. [Conclusion: the incidence of delayed wound healing after open reduction and internal fixation in young male patients with HIV positive was 26.92, and the delayed healing occurred with the site of operation and the length of incision. CD4 T cell count, leukocyte count, hemoglobin and serum albumin level were correlated with incision suture.
【正文快照】： 114 Vol.25,No.2 Jan.2017 中國矯形外科雜志 Orthopedic Journal of China 第 25 卷 第 2 期 2 0 1 7 年 1 月 · 臨床論著 · 人類免疫缺陷病毒陽性青年男性患者四肢閉合骨折 內(nèi)固定術(shù)后切口延遲愈合影響因素的研究 △ 趙汝崗，，趙昌松，李 鑫，

本文編號(hào)：1468586