胫骨平台骨折内固定术后引流量增多的危险因素分析

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Abstract Objective To study the related risk factors for increased postoperative drainage following open reduction and internal fixation of tibial plateau fracturesso as to provide references for making precautionary measures.Methods 162 men and 91 women aged 20 to 85(mean 49.25±12.96) years old who had tibial plateau fractures from March 2013 to October 2016 were enrolled.Patients were divided into two groups based on normal or increased total drain output，with increased drain output defined as total drain output greater than or equal to the 50th percentile.Variables analyzed included age，gender，BMI，smoking history，diabetes，history of hypertension，history of operation，HCT，D-dimer，duration from injury to operation，American Society of Anesthesiologists (ASA) class，Schatzker classification，operative time，number of incisions，intraoperative blood loss and unilateral/dual plate(s).The multivariate Logistic regression model was used to analyze the risk factors.Results The average drain output was (262.19±185.47)mL，127 patients had increased drain output.Tobacco use (OR＝1.850，P＝0.021)，a Schatzker type Ⅳ～Ⅵ (OR＝1.774，P＝0.034) and operative time (OR＝2.003，P＝0.007) were found to be independent risk factors for increased postoperative drain output.Conclusion Increased postoperative drain output of tibial plateau fractures is associated with smoking history，Schatzker classification and operative time.Preventive measures are suggested to promote wound healing.

Key words： tibial plateau fractures internal fixation drain output risk factor

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