中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
16期
28-30,31
,共4页
封闭式负压引流技术%阔筋膜张肌肌皮瓣修补术%压疮%临床疗效
封閉式負壓引流技術%闊觔膜張肌肌皮瓣脩補術%壓瘡%臨床療效
봉폐식부압인류기술%활근막장기기피판수보술%압창%림상료효
Vacuum sealing drainage%Tensor fascia lata myocutaneous flap transferring%Pressure ulcers%Clinical effectiveness
目的：通过比较封闭式负压引流技术（VSD）联合阔筋膜张肌肌皮瓣修补术治疗股骨大粗隆压疮与单独使用VSD治疗的效果，探讨VSD联合阔筋膜张肌肌皮瓣修补术在股骨大粗隆压疮治疗中的优越性。方法：选择2010年3月-2013年12月本院治疗的53例股骨大粗隆压疮患者，其中，28例采用VSD联合阔筋膜张肌肌皮瓣修补术（联合组），25例创面采用常规VSD治疗（常规组）。随访3~6个月，对比两种治疗方法在伤口愈合率、住院天数、住院总费用及患者满意度方面的差异。结果：两组伤口愈合率比较差异无统计学意义（P>0.05）；联合组的住院时间及住院总费用均明显少于常规组，患者满意度明显高于常规组，差异均有统计学意义（P<0.05）。结论：VSD联合阔筋膜张肌肌皮瓣修补术治疗股骨大粗隆压疮，与单独使用VSD治疗比较，具有缩短住院时间、降低住院费用及提高患者满意度的优越性。
目的：通過比較封閉式負壓引流技術（VSD）聯閤闊觔膜張肌肌皮瓣脩補術治療股骨大粗隆壓瘡與單獨使用VSD治療的效果，探討VSD聯閤闊觔膜張肌肌皮瓣脩補術在股骨大粗隆壓瘡治療中的優越性。方法：選擇2010年3月-2013年12月本院治療的53例股骨大粗隆壓瘡患者，其中，28例採用VSD聯閤闊觔膜張肌肌皮瓣脩補術（聯閤組），25例創麵採用常規VSD治療（常規組）。隨訪3~6箇月，對比兩種治療方法在傷口愈閤率、住院天數、住院總費用及患者滿意度方麵的差異。結果：兩組傷口愈閤率比較差異無統計學意義（P>0.05）；聯閤組的住院時間及住院總費用均明顯少于常規組，患者滿意度明顯高于常規組，差異均有統計學意義（P<0.05）。結論：VSD聯閤闊觔膜張肌肌皮瓣脩補術治療股骨大粗隆壓瘡，與單獨使用VSD治療比較，具有縮短住院時間、降低住院費用及提高患者滿意度的優越性。
목적：통과비교봉폐식부압인류기술（VSD）연합활근막장기기피판수보술치료고골대조륭압창여단독사용VSD치료적효과，탐토VSD연합활근막장기기피판수보술재고골대조륭압창치료중적우월성。방법：선택2010년3월-2013년12월본원치료적53례고골대조륭압창환자，기중，28례채용VSD연합활근막장기기피판수보술（연합조），25례창면채용상규VSD치료（상규조）。수방3~6개월，대비량충치료방법재상구유합솔、주원천수、주원총비용급환자만의도방면적차이。결과：량조상구유합솔비교차이무통계학의의（P>0.05）；연합조적주원시간급주원총비용균명현소우상규조，환자만의도명현고우상규조，차이균유통계학의의（P<0.05）。결론：VSD연합활근막장기기피판수보술치료고골대조륭압창，여단독사용VSD치료비교，구유축단주원시간、강저주원비용급제고환자만의도적우월성。
Objective:To explore the superiority of combined treatment of vacuum sealing drainage(VSD)and tensor fascia lata myocutaneous flap transferring in the treatment of pressure ulcers of trochanteric osteotomy,compared with the VSD-only treatment. Method:A retrospective analysis was performed with 28 cases with combined treatment of vacuum sealing drainage and tensor fascia lata myocutaneous flap transferring(the combined group)and 25 cases with VSD-only treatment(the routine group)from March 2010 to December 2013. All cases were followed up for 3 to 6 months,and the wound healing rate,length of stay,total treatment cost and satisfaction were compared between the two groups. Result:There was no statistically significant difference between the two groups’wound healing rate(P>0.05). The length of stay and the total cost of treatment of the combined group were significantly lower than the routine group, patients satisfaction was significantly higher than the routine group,the differences were statistically significant(P<0.05). Conclusion:Compared with the VSD-only treatment,combined treatment of vacuum sealing drainage(VSD)and tensor fascia lata myocutaneous flap transferring on pressure ulcers of trochanteric osteotomy has the advantages of short length of stay,low cost,and high patient satisfaction.
