摘要
目的探讨皮肤持续牵张技术联合负压封闭引流(VSD)技术治疗深度创面的临床疗效。方法选取2015年5月至2018年5月山西白求恩医院急救医学科收治的不同部位深度创面患者20例,其中外伤10例,压疮7例,感染创面3例。根据创面情况实施清创术后应用皮肤持续牵张联合VSD治疗,观察并记录患者伤口愈合时间,使用温哥华瘢痕量表评估创面愈合质量。结果20例患者经皮肤持续牵张与VSD治疗后,创面均愈合良好,无愈合不良或不愈合。创面大小为2 cm×2 cm^3 cm×4 cm的5例患者创面平均愈合时间为20 d,创面大小为5 cm×5 cm^8 cm×10 cm的8例患者创面平均愈合时间为22 d,创面大小为10 cm×15 cm^15 cm×20 cm的7例患者创面平均愈合时间为30 d。创面愈合后3个月随访所有患者温哥华瘢痕量表评分平均为3.8分。结论应用皮肤持续牵张技术与VSD技术联合治疗深度创面不仅可以获得满意的临床效果,而且具有操作简单、创伤小等优点,值得推广。
Objective To investigate the clinical effect of continuous skin distraction technique combined with vacuum sealing drainage(VSD)on the treatment of deep wounds.Methods From May 2015 to May 2018,20 patients with deep wound in different parts were selected from the Department of Emergency Medicine,Shanxi Bethune hospital,including 10 cases of trauma,7 cases of pressure sore and 3 cases of infection wound.According to the situation of wounds,continuous skin distraction combined with VSD was applied after debridement.The wound healing time was observed and recorded.The Vancouver scar scale of all the patients was used to evaluate the wound healing quality.Results The wounds of 20 patients were healed well after continuous stretch of skin and VSD treatment.The average healing time of 5 patients with wound size of 2 cm×2 cm to 3 cm×4 cm was 20 days,the average healing time of 8 patients with wound size of 5 cm×5 cm to 8 cm×10 cm was 22 days,and the average healing time of 7 patients with wounds ranging from 10 cm×15 cm to 15 cm×20 cm was 30 days.The average vancouver scar scale score of 3 months after wound healing was 3.8 point.Conclusion The application of continuous skin distraction combined with VSD technology to treat deep wounds not only can obtain satisfactory clinical results,but also has the advantages of simple operation and small trauma,which is worth promoting.
作者
王志强
李智
Wang Zhiqiang;Li Zhi(Department of Emergency Medicine,Shanxi Bethune Hospital,Taiyuan 030032,China)
出处
《中华损伤与修复杂志（电子版）》
CAS
2020年第1期56-60,共5页
Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)
基金
山西省重点研发计划项目(201803D31141)
关键词
负压伤口疗法
伤口愈合
引流术
皮肤牵张器
Negative-Pressure Wound Therapy
Wound Healing
Drainage
Skin-stretching devices
