Study On The Related Factors Of Poor Wound Healing After Chest Wall Tuberculosis Surgery

Objective In order to further study the related factors such as poor wound healing after chest wall tuberculosis surgery,the factors of non-primary healing of chest wall tuberculosis were analyzed,which provided the corresponding basis for clinical treatment and prognosis.Method A total of 323 patients with chest wall tuberculosis were collected from March 2010 to March 2018 in the Hospital,including 170 males and 153 females.The average age was 49.5 years,ranging from 12 to 80 years.There were 271 cases of primary wound healing,52 cases of non-primary healing,21 males and 31 females.All the patients were treated with the first excision of chest wall tuberculosis.To analyze the related factors that may lead to poor wound healing in patients with chest wall tuberculosis after operation,including gender,weight,height,age,underlying diseases such as diabetes,whether drainage was placed during operation and whether anti-tuberculosis was regular before operation.Preoperative hypoproteinemia,operation season,postoperative nursing level,whether associated with pulmonary tuberculosis and other factors.SPSS23.0 software was used to analyze the risk factors of poor wound healing,? 2 test and stepwise regression were used to compare the classification data.The variables with statistical difference in univariate results were included in Logistic stepwise regression analysis(P < 0.05).Objective: to investigate the related factors of poor wound healing after chest wall tuberculosis.Result There was no significant difference in the age of chest wall tuberculosispatients,the preoperative regular antituberculous drug therapy,the season of operation and the nursing grading after operation for poor wound healing.The body mass index(BMI)of the patients is an international clinical index to define the degree of obesity.BMI=(kg)/ height(m2)is divided into non-obese group(24?BMI < 27 kg / m2),obese group(BMI ?27kg / m2),whether or not suffering from diabetes,preoperative hypoproteinemia.There was significant difference between the factors of drainage and pulmonary tuberculosis(P < 0.05).Conclusion 1.When patients with chest wall tuberculosis are complicated with diabetes and other basic diseases,the preoperative blood glucose should be strictly controlled to meet the perioperative requirements,and the blood sugar and urine sugar of the patients should be stabilized within an appropriate level,which is helpful to the healing of the incision after operation in the patients with chest wall tuberculosis.It is one of the important factors of wound healing.The body mass index(BMI)of chest wall tuberculosis,such as the patients with BMI ?27Kg/m2 in obesity group,is prone to poor wound healing,and the body mass index of patients with chest wall tuberculosis should be actively reduced,which can prevent the poor wound healing and so on.3.The low protein before operation and the correction of protein should be used to stabilize the protein of patients with chest wall tuberculosis,which is the factor of postoperative healing of chest wall tuberculosis.4.for the patients with chest wall tuberculosis,whether to place drainage during operation is still a thorny problem in the surgical treatment of chest wall tuberculosis.Relevant studies hold that as long as the focus is completely cleared,the bleeding is strict and the residual cavity is satisfactorily treated,the drainage can be unnecessary.If drainage is placed,if the drainage is placed or improperly managed,it may lead to infection,sinus formation,or even retrograde infection.Placement of appropriate drainage can effectively reduce effusion,adequate drainage,conducive to the chest wall tuberculosis postoperative wound healing.5.There are three kinds of pathogenesis of chest wall tuberculosis,including blood sourcefactors,pulmonary tuberculosis or pleural tuberculosis factors and related factors of chest wall lymphadenitis.Tuberculosis of chest wall combined with pulmonary tuberculosis is one of the factors of poor wound healing after debridement.The effective control of pulmonary tuberculosis is beneficial to the healing of chest wall tuberculosis incision,so the progress of tuberculosis should be controlled effectively and formally after operation.