摘要
目的观察负压封闭引流技术（VSD）在复杂创面大面积皮肤缺损植皮修复术围手术期的应用效果。方法 25例复杂创面大面积皮肤缺损的患者植皮前先采用VSD治疗7~14 d培养肉芽,植皮术后继续予以VSD治疗（VSD组）7~10 d。18例皮肤缺损患者予以传统换药、单纯皮片移植术并采用传统打包加压治疗（传统组）。比较两组的植皮成活率及住院时间。结果 VSD组植皮成功率100%,住院时间（30.4±3.8）d;传统组植皮成功率66.7%,住院时间（52.8±7.2）d。两组植皮成功率比较,差异有显著性（χ2=9.68,P〈0.05）;住院时间比较,差异有显著性（t=2.01,P〈0.05）。结论大面积皮肤缺损创面及复杂创面的修复,植皮术围术期采用VSD治疗,可促进创面的愈合,提高植皮成功率,缩短治疗时间,值得推荐。
[ Objective ] To observe the application effect of VSD in the dennatoplasty of large area of cutaneous defects. [Methods] 25 patients with large area cutaneous defects in complex wounds received treatment of VSD be- fore dermatoplasty for 7-14 d. After dermatoplasty the VSD were also used for 7-10 d （VSD group）. Another 18 pa- tients received traditional free skin grafting therapy （traditional group）. Evaluate the clinical effect by reference to clinical outcome and hospitalization time. [Results] In VSD group, the survival rate was 100%, the hospitalization time was （30.4±3.8） d. In traditional group, the survival rate is 66.7%, the hospitalization time was （52.8±7.2） d. The two methods had significant difference by statistical analysis. [ Conclusions ] The clinical application of VSD tech- nology in the dermatoplasty of large area of skin wounds and complex wounds can ensure the success rate of the skin flap survival, shorten hospitalization time, reduce the suffering of patients.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2013年第36期77-80,共4页
China Journal of Modern Medicine
关键词
负压引流技术
大面积皮肤缺损
植皮术
vacuum sealing drainage
large area cutaneous defects
dermatoplasty
