外固定支架联合负压封闭引流技术治疗开放性骨盆骨折合并会阴撕裂感染的疗效观察

目的：外固定支架联合负压封闭引流技术治疗开放性骨盆骨折合并会阴撕裂感染的临床疗效。方法回顾性分析本院于2007年1月至2012年12月收治的68例开放性骨盆骨折合并会阴撕裂感染患者的临床资料，将其中32例接受外固定支架联合VSD技术治疗的患者作为VSD组，36例接受传统换药与外固定支架治疗的患者作为对照组。对比分析两组的临床疗效。结果 VSD组患者体温高于正常的时间、创面愈合的时间显著短于对照组患者（t =6.000、6.769，P ＜0.05），两组患者骨折愈合的时间差异无统计学意义（t =1.276，P ＞0.05）；VSD组患者治疗1周后WBC、N%、ALT、AST和Ccr的水平显著低于对照组（t =8.239、5.474、2.679、3.092、4.697，P ＜0.05）；VSD组与对照组患者骨折愈合后Majeed评分差异无统计学意义（Z =0.524，P ＞0.05）。结论在开放性骨盆骨折合并会阴撕裂感染治疗中，使用外固定支架固定联合VSD技术能够使得患者的感染得到有效的控制，创面与骨折部较好地愈合，值得推广。

Effects of external fixator combined with vaccum sealing drainage in the treatment of open pelvic fractures with perineal laceration infection

Objective To investigate the curative effects of external fixator combined with vaccum sealing drainage （VSD） in the treatment of open pelvic fractures with perineal laceration infection. Methods The clinical data of 68 patients with open pelvic fractures and perineal laceration infection in our hospital from January 2007 to December 2012 were analyzed, retrospectively. There were 32 patients who accepted VSD combined with external fixator were set as the VSD group while 36 patients accepted regular dressing as the control group. The clinical curative effect of the two groups were compared and analyzed, respectively. Results The time of abnormally high temperature, wound healing time of the VSD group were significantly shorter than the control group （t = 6.000, 6.769; P 0.05）. After one week’s treatment, the level of WBC, N%, ALT, AST and Ccr of patients in the VSD group were significantly lower than that of the control group （t = 8.239, 5.474, 2.679, 3.092, 4.697; P 0.05）. Conclusions In the treatment of open pelvic fractures with perineal laceration infection, external fixator combined with VSD could effectively control the infection of the patients and promote the healing of the wound and the fracture, and it is worth to promote.