摘要
目的 分析断指再植术后并发骨髓炎的相关因素,为临床提供参考.方法 对2006年7月～2009年7月的断指再植后并发骨髓炎病例进行回顾性研究,分别从性别、年龄、伤因、缺血时间、离断平面、内固定种类及是否合并血管危象等方面进行分析,对数据采用单因素χ2检验和多因素Logistic回归分析.结果 伤因、热缺血时间、合并血管危象等因素是断指再植后并发骨髓炎的高危因素.结论 对于严重碾挫伤及热缺血时间大于8 h的患者再植术后要提高警惕,对于术后并发血管危象的患者要及时处理,密切观察病情,及时发现并早期防治骨髓炎.
Objective To analyze the relevant factors of the digital replantation comphcated by osteomyelitis and provide the reference for the clinical. Methods Retrospectively study the digital replantation complicated by osteomyelitis from July 2006 to 2009. respectively for gender, age, the heat ischemia time, the broken type and fixation type and the vascular crisis or not,analyze the data by single -factorx2 test and multivariate Logistic regression analysis. Results The broken type,heat ischemia time and the vascular crisis is the high risk factors of the digital replantation complicated by osteomyelitis. Conclusion It should be vigilant for the patient of serious grind contusion and heat ischemia time more than 8 hours. The postoperative patients with vascular crisis should be handled promptly and observed closely. Timely detectand and early prevent from the digital replantation complicated by osteomyelitis.
出处
《中国医学创新》
CAS
2010年第22期38-39,共2页
Medical Innovation of China
关键词
断指再植
骨髓炎
危险因素
Digital replantation
Osteomyelitis
Risk factors
