CAJ | 학술논문

目的：观察手术扩创+封闭负压引流(VSD)+植皮术治疗长时间不愈合的外伤性皮肤窦道的临床疗效。方法外伤性皮肤窦道在相应麻醉方式下行扩创手术,按创面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行植皮术并行VSD负压引流,7~10 d拆除VSD材料。结果本组86例外伤性皮肤窦道患者手术扩创后经1~3次VSD封闭负压引流,伤口创面肉芽组织新鲜,植皮术后皮片成活良好,随访半年,伤口处瘢痕不明显,功能影响小,少数患者皮损局部稍凹陷。结论在外伤性皮肤窦道的整形修复中引入VSD负压引流+植皮术,操作简单,患者痛苦小,疗效确切,值得临床应用和推广。
목적：관찰수술확창+봉폐부압인류(VSD)+식피술치료장시간불유합적외상성피부두도적림상료효。방법외상성피부두도재상응마취방식하행확창수술,안창면대소화형상재전봉폐부압인류(VSD)재료복개상구창면,지속인류,7~8 d탁제,상구위신선육아조직후행식피술병행VSD부압인류,7~10 d탁제VSD재료。결과본조86예외상성피부두도환자수술확창후경1~3차VSD봉폐부압인류,상구창면육아조직신선,식피술후피편성활량호,수방반년,상구처반흔불명현,공능영향소,소수환자피손국부초요함。결론재외상성피부두도적정형수복중인입VSD부압인류+식피술,조작간단,환자통고소,료효학절,치득림상응용화추엄。
Objective To investigate the effect of surgical debridement, vacuum sealing drainage(VSD) and skin grafting in traumatic skin sinus repair. Methods The traumatic skin sinus was debrided under anesthesia, and the wound surface which filled with vacuum sealing drainage(VSD) material according to the size and shape of the cutting using for 7~8 days,the wound treatment with dressing until wound healing after cover granulation tissue. The wound surface treatment with skin grafting for 7~10 days. Results In this group, the 86 traumatic skin sinus were covered with granulation after debridement and VSD using for 1~3 times, and the skin survived well after skin grafting, with 6 months followed-up, the wound scar was not obvious, partial slightly sunken. Conclusion The procedure with debridement, vacuum sealing drainage(VSD) and skin grafting to cure the traumatic skin sinus is much more simpler, less painful and positive effect, it is worth popularizing.