目的:用皮瓣或初次闭合治疗压疮时最常见的术后并发症是早期伤口裂开。在这项研究中,我们旨在探讨早期伤口裂开的原因及其相关危险因素。早期伤口裂开被定义为在没有重量或张力施加到伤口的术后期间内的伤口裂开。
方法:我们对40例压疮患者(69个部位)进行了回顾性研究。我们计算了以下15个因素的组间伤口裂开发生率的显著差异:年龄,肥胖,消瘦,糖尿病,吸烟,溃疡部位,肌皮瓣,耐甲氧西林金黄色葡萄球菌,存在两种或两种以上的细菌,白蛋白水平,C反应蛋白水平,白细胞计数,血红蛋白水平,手术时间,和溃疡的大小。
结果:在所有早期裂开的伤口中均检测到细菌,69例中有28例(40.6%)。C反应蛋白水平,白蛋白水平,肌皮瓣,采用χ2检验和t检验发现手术时间是早期伤口裂开的危险因素。(P?=?分别为0.011、0.045、0.018和0.003)。
结论:裂开的原因被认为是手术部位感染。C反应蛋白水平,白蛋白水平,肌皮瓣,和手术时间可能是早期伤口裂开发生的危险因素。J.Med.投资。70:101-104,二月,2023年。
OBJECTIVE: The most common postoperative complication when treating a pressure ulcer with a flap or primary closure is early wound dehiscence. In this study, we aimed to investigate the cause of early wound dehiscence and its associated risk factors. Early wound dehiscence was defined as the wound dehiscence within the post operation period where no weight or tension is applied to the wound.
METHODS: We conducted a retrospective study of 40 patients with pressure ulcers (69 sites). We calculated the significant difference in the incidence of wound dehiscence between the groups for the following 15 factors : age, obesity, emaciation, diabetes mellitus, smoking, ulcer site, musculocutaneous flap, methicillin-resistant Staphylococcus aureus, presence of two or more types of bacteria, albumin level, C-reactive protein level, white blood cell count, hemoglobin level, operative time, and ulcer size.
RESULTS: Bacteria were detected in all wounds with early dehiscence, which was found in 28 (40.6%) of the 69 cases. C-reactive protein level, albumin level, musculocutaneous flap, and operative time were found to be risk factors for early wound dehiscence using the χ2-test and t-test. (P?=?0.011, 0.045, 0.018, and 0.003, respectively).
CONCLUSIONS: The cause of dehiscence was considered to be surgical site infection. C-reactive protein level, albumin level, musculocutaneous flap, and operative time may be risk factors of the occurrence of early wound dehiscence. J. Med. Invest. 70 : 101-104, February, 2023.