| 摘要: |
| ［摘要］ 目的 探讨封闭式负压引流技术(vacuum sealing drainge，VSD)处理创伤性大面积皮肤软组织缺损创面的效果。方法 对120例创伤性大面积皮肤软组织缺损的创面处理分别采用VSD技术(VSD组，60例)和常规换药治疗(对照组，60例)，比较两者疗效。结果 VSD组创面清洁时间为6～12(7.6±1.5)d；45例植皮，15例皮瓣修复。对照组创面清洁时间为12～20(15.6±4.3)d：32例植皮，28例皮瓣修复。两组在创面清洁时间、住院时间及植皮效果方面差异均有统计学意义(P<0.01)。结论 VSD技术对创伤性大面积皮肤软组织缺损创面的处理效果优于传统换药。 |
| 关键词: 封闭式负压引流 软组织缺损 创面愈合 |
| DOI：10.3969/j.issn.1674-3806.2010.07.09 |
| 分类号:R 64 |
| 基金项目: |
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| Analysis of curative effect of vacuum sealing drainge in the treatment of severe soft tissue defect |
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GAN Feng-ping,JIANG Jian-zhong,TAN Hai-tao
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Department of Orthopedics,the People′s Hospital of Guigang, Guangxi 537100,China
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| Abstract: |
| ［Abstract］ Objective To investigate the effect of vacuum sealing drainage(VSD) technique on the management of severe skin and soft tissue defects. Methods One hundred and twenty patients with severe skin and soft tissue dirty defects were divided in two groups,VSD group was treated by the VSD technique(60 patients) and the control group(60 patients) was managed by traditional method. Results In VSD group, wound surface treatment time were 6～12 d with an average of (7.6±1.5)d, skin graft were performed in 45 patients, flap repair in 15 patients; in control group, wound surface treatment time were 12～20 d with an average of (15.6±4.3)d, skin graft in 32 patients, flap repair in 28 patients, there were significant differences in times of treatment, the total time of hospitalization between two groups(P<0.01). And there was a significant difference in curative effect of skin grafting between two groups(P<0.05). Conclusion VSD is superior to the traditional dressing charge for curing the skin and soft tissue detect. |
| Key words: Vacuum sealing drainage Soft tissue defect Wound healing |
