临床骨科杂志
臨床骨科雜誌
림상골과잡지
JOURNAL OF CLINICAL ORTHOPAEDICS
2014年
2期
207-209,210
,共4页
封闭负压引流%持续冲洗%软组织缺损%四肢损伤%皮肤移植
封閉負壓引流%持續遲洗%軟組織缺損%四肢損傷%皮膚移植
봉폐부압인류%지속충세%연조직결손%사지손상%피부이식
vacuum sealing drainage%continuous irrigation%soft tissue defects%wounds of limbs%skin transplantion
目的：探讨封闭负压引流（VSD）结合持续冲洗技术治疗四肢软组织缺损创面的临床效果。方法对56例四肢软组织缺损患者采用VSD结合持续冲洗方法治疗28例（VSD组）、传统换药方式治疗28例（传统组），比较两组创面植皮前缩小面积、清创后距植皮时间、植皮后治疗时间、植皮后换药次数。结果 VSD组治疗后均未出现发热，创面均无明显脓性分泌物。创面植皮前缩小面积：VSD组为（4．35±1．27）cm2，传统组为（2.24±0.68）cm2。清创后距植皮时间：VSD组为（11.82±2.37）d，传统组为（16.07±2.58）d。植皮后治疗时间：VSD组为（13.93±3.80）d，传统组为（19.00±4.75）d。植皮后换药次数：VSD组为（4.86±1.53）次，传统组为（8.39±1.59）次。两组创面植皮前缩小面积比较差异无统计学意义（P＞0.05），其余比较差异均有统计学意义（P＜0.01）。结论 VSD结合持续冲洗可有效控制创面感染，促进创面愈合，降低换药次数，缩短治疗时间，有利于创面修复及移植皮片的存活。
目的：探討封閉負壓引流（VSD）結閤持續遲洗技術治療四肢軟組織缺損創麵的臨床效果。方法對56例四肢軟組織缺損患者採用VSD結閤持續遲洗方法治療28例（VSD組）、傳統換藥方式治療28例（傳統組），比較兩組創麵植皮前縮小麵積、清創後距植皮時間、植皮後治療時間、植皮後換藥次數。結果 VSD組治療後均未齣現髮熱，創麵均無明顯膿性分泌物。創麵植皮前縮小麵積：VSD組為（4．35±1．27）cm2，傳統組為（2.24±0.68）cm2。清創後距植皮時間：VSD組為（11.82±2.37）d，傳統組為（16.07±2.58）d。植皮後治療時間：VSD組為（13.93±3.80）d，傳統組為（19.00±4.75）d。植皮後換藥次數：VSD組為（4.86±1.53）次，傳統組為（8.39±1.59）次。兩組創麵植皮前縮小麵積比較差異無統計學意義（P＞0.05），其餘比較差異均有統計學意義（P＜0.01）。結論 VSD結閤持續遲洗可有效控製創麵感染，促進創麵愈閤，降低換藥次數，縮短治療時間，有利于創麵脩複及移植皮片的存活。
목적：탐토봉폐부압인류（VSD）결합지속충세기술치료사지연조직결손창면적림상효과。방법대56례사지연조직결손환자채용VSD결합지속충세방법치료28례（VSD조）、전통환약방식치료28례（전통조），비교량조창면식피전축소면적、청창후거식피시간、식피후치료시간、식피후환약차수。결과 VSD조치료후균미출현발열，창면균무명현농성분비물。창면식피전축소면적：VSD조위（4．35±1．27）cm2，전통조위（2.24±0.68）cm2。청창후거식피시간：VSD조위（11.82±2.37）d，전통조위（16.07±2.58）d。식피후치료시간：VSD조위（13.93±3.80）d，전통조위（19.00±4.75）d。식피후환약차수：VSD조위（4.86±1.53）차，전통조위（8.39±1.59）차。량조창면식피전축소면적비교차이무통계학의의（P＞0.05），기여비교차이균유통계학의의（P＜0.01）。결론 VSD결합지속충세가유효공제창면감염，촉진창면유합，강저환약차수，축단치료시간，유리우창면수복급이식피편적존활。
Objective To evaluate the clinical curative effect of vacuum sealing drainage (VSD)combined with con-tinuous irrigation in the soft tissue defects of limbs.Methods Using VSD combined continuous irrigation in 28 cases of skin defects (VSD group)and traditional way in 28 cases(traditional group)to compare the narrow area of wound before skin grafting,treatment time between debridement and skin grafting,treatment time after skin grafting,number of dressing after skin grafting in 2 groups.Results 28 patients in VSD group didn′t appear fever and obviously puru-lent were not found.The treatment effect of VSD group was better than traditional group in some aspects-the narrow area of the wound before skin grafting were (4.35 ±1.27)cm2 in the VSD group and (2.24 ±0.68)cm2 in the tra-ditional group,treatment time between debridement and skin grafting were (11.82 ±2.37)d in the VSD group and (16.07 ±2.58)d in the traditional group ,treatment time after skin grafting were (13.93 ±3.80)d in the VSD group and (19.00 ±4.75)d in the traditional group,treatment time after skin grafting were (4.86 ±1.53 )times in the VSD group and (8.39 ±1.59)times in the traditional group.The difference of narrow area of the wound before skin grafting showed no statistically significant(P>0.05 ).The remaining difference was statistically significant (P<0.01).Conclusions VSD combined with continuous irrigation can effectively decrease the rate of wound infection, promote wound healing and reduce the number of dressing changes,shorten treatment time.And it is conducive to wound healing and skin flap survival.
