中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2010年
1期
125-126
,共2页
负压引流%皮肤缺损%皮瓣修复
負壓引流%皮膚缺損%皮瓣脩複
부압인류%피부결손%피판수복
Vacuum-assisted closure%Skin defects%Flap repair
目的 探讨封闭负压引流技术(vacuum-assisted closure,VAC)联合腓肠神经营养血管皮瓣修复足踝部损伤,皮肤缺损创面的临床疗效.方法 2005年12月至2009年3月本科收治的22例腋部皮肤缺损的患者,男16例,女6例.年龄18~58岁;早期扩创后采用VAC待肉芽组织形成后,用腓肠神经营养血管皮瓣修复足踝部创面.皮瓣范围5 cm×8 cm至8 em×12 cm.结果 1例远端皮瓣下出现慢性瘘道,经换药后创口闭合,皮瓣成活良好.其余患者皮瓣成活,切口均一期愈合,小腿供区愈合良好.结论 VAC促进创面局部血运,肉芽形成,清洁创面,抑制细菌生长,减少感染,为皮瓣修复提供了良好的组织床.VAC联合腓肠神经营养血管皮瓣是修复足踝部创面的良好方法之一.
目的 探討封閉負壓引流技術(vacuum-assisted closure,VAC)聯閤腓腸神經營養血管皮瓣脩複足踝部損傷,皮膚缺損創麵的臨床療效.方法 2005年12月至2009年3月本科收治的22例腋部皮膚缺損的患者,男16例,女6例.年齡18~58歲;早期擴創後採用VAC待肉芽組織形成後,用腓腸神經營養血管皮瓣脩複足踝部創麵.皮瓣範圍5 cm×8 cm至8 em×12 cm.結果 1例遠耑皮瓣下齣現慢性瘺道,經換藥後創口閉閤,皮瓣成活良好.其餘患者皮瓣成活,切口均一期愈閤,小腿供區愈閤良好.結論 VAC促進創麵跼部血運,肉芽形成,清潔創麵,抑製細菌生長,減少感染,為皮瓣脩複提供瞭良好的組織床.VAC聯閤腓腸神經營養血管皮瓣是脩複足踝部創麵的良好方法之一.
목적 탐토봉폐부압인류기술(vacuum-assisted closure,VAC)연합비장신경영양혈관피판수복족과부손상,피부결손창면적림상료효.방법 2005년12월지2009년3월본과수치적22례액부피부결손적환자,남16례,녀6례.년령18~58세;조기확창후채용VAC대육아조직형성후,용비장신경영양혈관피판수복족과부창면.피판범위5 cm×8 cm지8 em×12 cm.결과 1례원단피판하출현만성루도,경환약후창구폐합,피판성활량호.기여환자피판성활,절구균일기유합,소퇴공구유합량호.결론 VAC촉진창면국부혈운,육아형성,청길창면,억제세균생장,감소감염,위피판수복제공료량호적조직상.VAC연합비장신경영양혈관피판시수복족과부창면적량호방법지일.
Objective To disscuss the effect of vacuum-assisted closure (vacuum-assisted closure,VAC) United Sural neuro-veno-fasciocutaneous flap for ankle injury and a large area of skin defect wound .Methods 2005to March2009 Division I treated 22 cases of ankle skin defect of the patients, 16 cases of male,female Example 6 Age 18 years old-58 years old;early debridement VAC to be introduced after the formation of granulation tissue,the Sural neuro-veno-fasciocutaneous flap with ankle wound. Flap area 5 cm × 8 cm to 8 cm × 12 cm. Results Example 1 subepithelial chronic distal fistula,the wound dressing was changed after the closure, good tlap survival. The remaining patients with flap survival, wound healing uniform, calf for the District of good healing. Conclusion VAC promotes wound partial revascularization, granulation formation, cleaning the wound,inhibit bacterial growth, reduce infection, for the flap provides a good organization of bed. VAC United Sural neuro-veno-fasciocutaneous flap to repair the ankle wounds was a good way.