林晓毅 林凤晖 冯进益 刘复安

【摘要】 目的：比较AD缝合法和皮肤缝合器缝合法在外侧延长“L”形切口治疗跟骨骨折术中效果。方法：选择2015年4月-2020年4月本院的80例跟骨骨折的手术患者。所有患者入院后，按随机数字表法分为A组（n=39）和B组（n=41）。A组采用AD缝合法，B组采用皮肤缝合器缝合法。比较两组手术时间、皮肤切口缝合时间及术后切口并发症发生情况。结果：两组手术时间比较，差异无统计学意义（P>0.05）。B组皮肤切口缝合时间短于A组，差异有统计学意义（P<0.05）。两组术后切口并发症发生率比较，差异无统计学意义（P>0.05）。结论：在跟骨骨折皮肤切口的缝合中，皮肤缝合器缝合法与AD缝合法相比，伤口愈合效果相当，但前者缝合速度更快，操作更加简便易行。

【关键词】 跟骨骨折 Allgower- Donati缝合法 皮肤缝合器

Comparison of the Effect of Two Suture Methods in the Treatment of Calcaneal Fracture Surgery with Lateral Extensive “L” Shaped Incision/LIN Xiaoyi， LIN Fenghui， FENG Jinyi， LIU Fu’an. //Medical Innovation of China， 2021， 18（33）： 0-052

[Abstract] Objective： To compare the treatment effect of Allgower-Donati （AD） suture and skin stapler suture in calcaneal fracture surgery with lateral extensive “L” shaped incision. Method： A total of 80 patients with calcaneal fractures underwent surgery in our hospital were selected from April 2015 to April 2020. After admission， all patients were divided into group A （n=39） and group B （n=41） according to random number table method. AD suture was used in group A and skin stapler suture was used in group B. The surgery time， skin incision suture time and postoperative incision complications were compared between the two groups. Result： There was no significant difference in surgery time between the two groups （P>0.05）. The skin incision suture time in group B was shorter than that in group A， the difference was statistically significant （P<0.05）. There was no significant difference in the incidence of postoperative incision complications between the two groups （P>0.05）. Conclusion： In the suturing of skin incision of calcaneal fracture， compared with AD suture， the skin stapler suture has the same wound healing effect， but the former has faster suturing speed and easier operation.

[Key words] Calcaneal fracture Allgower-Donati suture Skin stapler

First-author’s address： First Affiliated Hospital of Xiamen University， Xiamen 361003， China

doi：10.3969/j.issn.1674-4985.2021.33.013

對于严重的跟骨骨折，手术治疗可以恢复跟骨的高度、宽度及长度。跟骨骨折切开复位钢板内固定时常选用外侧延长“L”形切口，但临床发现其术后切口并发症发生率较高。在诸多影响因素中，切口缝合方式是其中之一[1-2]。2015年4月-2020年

4月，笔者采用一次性皮肤缝合器与Allgower-Donati缝合法（简称AD缝合法）对跟骨骨折手术外侧延长“L”形切口缝合的效果进行了对比研究，现报道如下。

1 资料与方法

1.1 一般资料 选择2015年4月-2020年4月本院的80例跟骨骨折手术患者，男60例，女20例，均为闭合性骨折。左侧39例，右侧41例;年龄24～50岁，平均（38.4±0.8）岁。根据Sanders分型进行分类：Ⅱ型22例，Ⅲ型37例，Ⅳ型21例。纳入标准：闭合性骨折;SandersⅡ～Ⅳ型;<65岁。排除标准：伴有其他部位骨折，合并有动脉硬化性闭塞症、血栓闭塞性脉管炎或严重糖尿病等疾病。……