摘要
目的探讨负压封闭引流技术(VSD)联合骨外支架早期治疗小腿开放性骨折的临床疗效。方法对2009年1月至2011年6月收治的小腿开放性骨折患者36例,对其彻底清创后外支架复位稳定骨折,并采用VSD封闭创面引流。待创面清洁或肉芽新鲜后,结合游离皮片、转移皮瓣或游离肌皮瓣移植覆盖创面。结果 36例患者中33例移植物全部存活;2例转移皮瓣远端少许坏死,经换药后完全愈合;1例转移皮瓣大部分坏死,经植皮愈合。36例骨折均愈合。结论 VSD联合骨外支架早期处理小腿开放性骨折,可以复位稳定骨折,有效封闭创面,促进肉芽组织生长,避免感染,缩短治疗周期,为进一步治疗创造良好条件。
Objective To explore the clinical efficacy of vacuum sealing drainage（VSD） and external fixation in the early treatment of leg open fractures. Methods From January 2009 to June 2011 ,leg open fractures in patients with 36 cases were collected in our department,who were stabilized fractures by external fixator after debrided thor-oughly and using VSD closed wound drainage. Covering the wound surface with free skin graft,flap transfer or free myocutaneous flap when wound surface was clean or granulation was fresh. Results Leg open fractures in patients with 36 cases were all healed up,in which 33 cases of graft survived,2 cases of little distal flap necrosis,healed after changing. 1 case graft had necrosis seriously,it was healed completely after free skin grafted. Conclusion VSD and external fixation in the early treatment of leg open fractures, which can be reset stable fractures, effectively closed wound, promote granulation tissue growth, avoid infection, shorten the treatment cycle, create favorable conditions for further treatment.
出处
《检验医学与临床》
CAS
2013年第13期1650-1651,共2页
Laboratory Medicine and Clinic
