摘要
目的探讨改良可灌洗式持续负压引流技术治疗复杂难愈性创面的临床效果。方法11例难愈性创面,应用改良可灌洗式持续负压引流技术进行治疗,观察负压引流持续时间、更换次数、愈合方式以及应用游离皮片移植及皮瓣转移的愈合情况。结果单例患者敷料套件更换次数最少2次,最多6次,首次治疗后,创面肉芽组织不同程度增生10例;继续应用改良技术固定游离皮片移植愈合10例,皮瓣转移修复1例,11例难愈性创面全部愈合。结论改良可灌洗式持续负压引流技术可以有效地改善创面条件,确保皮片及皮移植瓣成功率,效果良好,值得推广。
Objective To explore the clinical effect of the modified vacuum sealing drainage lavage in treating refractory wound. Methods Eleven patients with refractory wound were treated by the modified vacuum sealing drainage lavage. The curative time, replacing frequency, healing pattern, healing situation by using free skin graft and skin flap graft were observed and analyzed. Results Replacing frequency was from 2 times to 6 times. After the initial treatment, there was granulation tissue proliferation in varying degrees on 10 cases. The wound surface was repaired by free skin graft with the modified VSD lavage in 10 cases and skin flap in 1 case. The wounds obtained healing in 11 cases. Conclusion The modified VSD lavage can improve wound conditions, ensure the survival rate of skin flap graft and is worthy of popularization.
出处
《组织工程与重建外科杂志》
2012年第1期40-42,45,共4页
Journal of Tissue Engineering and Reconstructive Surgery
