胸腰椎骨折后路手术切口愈合不良分析及治疗

Analysis and treatment of poor wound healing after thoracolumbar fracture surgery

摘要:

[目的] 分析胸腰椎骨折后路手术切口愈合不良的原因，探讨其预防及治疗方法。[方法] 回顾性分析我院 2017年6月至2022年9 月胸腰椎骨折后路手术切口愈合不良的临床资料 21例，对其表现、原因、处理方法进行分类及讨论。[结果] 21例切口愈合不良患者再次手术8例，7例一期愈合；1例窦道形成，经6个月长期换药愈合；另13例经加强换药，保守治疗切口均在4周内愈合。[结论] 手术时间、肥胖、高血压，糖尿病、手术方式是手术切口愈合不良的主要因素，首次手术处理的方式对于愈合预后有直接关系。

Abstract:

[objective] Analysis the cause of the poor wound healing after thoracolumbar fracture surgery, to investigate the methods of the prevention and treatment for the poor wound healing. [Methods] 21 cases with the poor wound healing after thoracolumbar fracture surger were selected from June 2017 to September 2022, classify and discuss performance, causes and treatment methods of the poor wound. [Result] 8 of the 21 cases with the poor healing were operated two times, 7cases incisions were primary healing; 1 case with fistula formation, the fistula formation was healing with dressing after 6 months. The other 13 cases were healed by the strengthening change dressing within 4 weeks.[Conclusion] The severity of trauma is the main factor of poor healing of incision surgery, the first time operation has a direct relationship on prognosis.