腰椎闭合性骨折术后切口愈合不良相关因素分析

目的 本实验通过对腰椎闭合性骨折术后切口愈合不良的相关危险因素进行分析和探讨,以减少术后切口愈合不良的发生.方法 选取2017年5月-2020年5月蚌埠医学院第一附属医院骨科342例腰椎闭合性骨折的患者为研究对象,回顾性分析术后出现切口愈合不良的患者,对切口愈合不良的发生率及相关危险因素进行研究分析.结果 (1)342...

Analysis of related factors of poor wound healing after closed lumbar fracture surgery

  Objective   To investigate and analyse the related risk factors of poor incision healing after operation for lumbar closed fracture.   Methods   A total of 342 patients with closed lumbar fracture who were admitted to the department of orthopaedics in the First Affiliated Hospital of Bengbu Medical College from May 2017 to May 2020 were included in the study. The incidence of poor incision healing and related risk factors were studied and analysed retrospectively.   Results   (1) Among the 342 patients, 28 cases had poor incision healing, with an incidence of 8.2%. Univariate analysis showed that gender, the length of incision, use of electric knife, use of antibiotics before and after the operation and drainage time of the drainage tube had no effect on postoperative incision healing, and the difference was not statistically significant (all P>0.05). Age of >45 years, operation time of >3 h, diabetes, hypertension, BMI of >28 and waist and back fat thickness of >3 cm were significantly correlated with poor wound healing after operation. (2) Multi-factor logistic regression analysis showed that age, operation time, diabetes, hypertension, body mass index and low back fat thickness were independent risk factors for poor incision healing after operation for lumbar closed fracture when poor wound healing was used as a dependent variable. (3) Among the 28 patients with poor wound healing, incision infection was the most common, accounting for 57.14%. Staphylococcus aureus was the most common infection bacteria, accounting for 37.5%.   Conclusion   Patients' age, operation time, diabetes, hypertension, body mass index and low back fat thickness are the risk factors for poor incision healing after lumbar closed fracture operation.