中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2014年
7期
39-40
,共2页
封闭负压引流%老年%下肢%慢性皮肤溃疡
封閉負壓引流%老年%下肢%慢性皮膚潰瘍
봉폐부압인류%노년%하지%만성피부궤양
Vacuum sealing drainage%Aged patients%Lower limb%Chronic skin ulcers
目的：观察封闭负压引流技术治疗老年下肢慢性皮肤溃疡的临床疗效。方法下肢慢性皮肤溃疡在局麻或无麻醉下进行清创,按伤口大小和形状裁剪封闭负压引流(VSD)材料覆盖伤口创面,持续引流,7~8 d拆除,伤口为新鲜肉芽组织后改为换药治疗,直到伤口愈合。结果本组105例老年下肢慢性皮肤溃疡经1~4次封闭负压引流,伤口创面肉芽组织新鲜,经换药后创面愈合,随访半年,伤口处瘢痕不明显,部分局部稍凹陷。结论封闭负压引流技术治疗老年下肢慢性皮肤溃疡操作简单,损伤小,缩短了疗程,疗效肯定,值得临床应用。
目的：觀察封閉負壓引流技術治療老年下肢慢性皮膚潰瘍的臨床療效。方法下肢慢性皮膚潰瘍在跼痳或無痳醉下進行清創,按傷口大小和形狀裁剪封閉負壓引流(VSD)材料覆蓋傷口創麵,持續引流,7~8 d拆除,傷口為新鮮肉芽組織後改為換藥治療,直到傷口愈閤。結果本組105例老年下肢慢性皮膚潰瘍經1~4次封閉負壓引流,傷口創麵肉芽組織新鮮,經換藥後創麵愈閤,隨訪半年,傷口處瘢痕不明顯,部分跼部稍凹陷。結論封閉負壓引流技術治療老年下肢慢性皮膚潰瘍操作簡單,損傷小,縮短瞭療程,療效肯定,值得臨床應用。
목적：관찰봉폐부압인류기술치료노년하지만성피부궤양적림상료효。방법하지만성피부궤양재국마혹무마취하진행청창,안상구대소화형상재전봉폐부압인류(VSD)재료복개상구창면,지속인류,7~8 d탁제,상구위신선육아조직후개위환약치료,직도상구유합。결과본조105례노년하지만성피부궤양경1~4차봉폐부압인류,상구창면육아조직신선,경환약후창면유합,수방반년,상구처반흔불명현,부분국부초요함。결론봉폐부압인류기술치료노년하지만성피부궤양조작간단,손상소,축단료료정,료효긍정,치득림상응용。
Objective To investigate the effect of vacuum sealing drainage(VSD) treatment on aged patients with lower limb chronic skin ulcers. Methods The lower limb chronic skin ulcers was debrided under local anesthesia or none anesthesia, and the wound surface which filled with polyvinyl alcohol foams according to the size and shape of the cutting using for 7~8days, the wound treatment with dressing until wound healing after cover granulation tissue. Results In this group, the 105lower limb chronic skin ulcers were covered with granulation after VSD using for 1~4 times, and the wound was healed under dressing, with 6 monthes followed-up, the wound scar is not obvious, partial slightly sunken. Conclusion The procedure with vacuum sealing drainage to cure the aged patients with lower limb chronic skin ulcers is much more simpler, less trauma, shorten treatment and positive effect, it is worth popularizing.
