人工膝关节置换术后切口愈合不良的影响因素分析

何洁; 张玉梅; 宋彩萍; 朱京慈

doi:10.16016/j.1000-5404.201610164

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人工膝关节置换术后切口愈合不良的影响因素分析

临床医学 | 更新时间：2026-01-09

- 人工膝关节置换术后切口愈合不良的影响因素分析
- Influencing factors for poor wound healing after total knee arthroplasty
- 第三军医大学学报 2017年39卷第9期页码：924-928
- 作者机构：
- 作者简介：
- 基金信息：
  
  国家自然科学基金面上项目(81171720)
- DOI：10.16016/j.1000-5404.201610164
  中图分类号：
- 收稿：2016-10-26，
  
  纸质出版：2017-05-15
- 稿件说明：
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何洁, 张玉梅, 宋彩萍, 等. 人工膝关节置换术后切口愈合不良的影响因素分析[J]. 第三军医大学学报, 2017,39(9):924-928.

Jie He, Yumei Zhang, Caiping Song, et al. Influencing factors for poor wound healing after total knee arthroplasty[J]. Journal of Third Military Medical University, 2017, 39(9): 924-928.
何洁, 张玉梅, 宋彩萍, 等. 人工膝关节置换术后切口愈合不良的影响因素分析[J]. 第三军医大学学报, 2017,39(9):924-928. DOI： 10.16016/j.1000-5404.201610164.

Jie He, Yumei Zhang, Caiping Song, et al. Influencing factors for poor wound healing after total knee arthroplasty[J]. Journal of Third Military Medical University, 2017, 39(9): 924-928. DOI： 10.16016/j.1000-5404.201610164.

摘要

Abstract

Objective

To observe the incision healing in the patients after total knee arthroplasty (TKA) and analyze the influencing factors of poor wound healing.

Methods

Clinical data of 246 cases in primary surgery for TKA in Xinqiao Hospital from January to December 2014 were collected and retrospectively analyzed. Their general data (including age

sex

BMI

basic diseases

and the pre-operative levels of total protein

albumin and hemoglobin) and post-operative indicators (total protein

albumin and hemoglobin levels) were analyzed by univariate and multivariate logistic regression analyses for the potential risk factors of poor wound healing.

Results

There were 17 patients (6.91%) experiencing poor wound healing. Univariate analysis showed that significant differences were found in the following factors

age

pre-operative levels of total protein and albumin

pressure of tourniquet

and levels of t

otal protein and albumin in the first day after surgery (

0.05). Logistics regression analysis showed pre-operative albumin (

=0.703

95%

=0.552~0.895

=0.004) and albumin in the first day after surgery (

=0.762

95%

=0.623~0.933

=0.008) were the protective factors

while the pressure of tourniquet (

=2.695

95%

=1.971~7.482

=0.047) were risk factor for poor wound healing.

Conclusion

There are many factors influencing wound healing in TKA patients. Clinicians should pay more attention to the pressure of tourniquet and nutrient indexes (pre-and post-operative albumin).

关键词

Keywords

references

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