中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
25期
30-31
,共2页
负压封闭吸引%软组织缺损%腓肠神经营养皮瓣%疗效
負壓封閉吸引%軟組織缺損%腓腸神經營養皮瓣%療效
부압봉폐흡인%연조직결손%비장신경영양피판%료효
Vacuum sealing drainage%Soft tissue defect%Sural neurocutaneous flap%Efficacy
目的：评价负压封闭吸引（VSD）辅助修复软组织缺损的临床疗效。方法选取2011年4月—2013年5月该院收治的足踝部位软组织损伤患者71例，随机分为两组，其中观察组36例，清创后给予VSD治疗，并使用腓肠神经营养皮瓣覆盖修复，对照组35例，仅采用常规清创与创面换药后腓肠神经营养皮瓣覆盖修复，观察并比较两组患者住院时间、抗生素使用时间、感染情况和疼痛程度。结果观察组住院时间与抗生素使用时间明显短于对照组，两组比较差异有统计学意义（P＜0.05）；观察组有2（5.6%）例感染，疼痛评分为（2.9±1.3）分，对照组为8（22.9%）例，疼痛评分为（6.2±2.4）分，两组比较差异有统计学意义（P＜0.05）。结论负压封闭吸引辅助修复软组织缺损的临床疗效好，能有效减少患者住院时间与感染几率，降低疼痛程度，值得在临床上予以推广。
目的：評價負壓封閉吸引（VSD）輔助脩複軟組織缺損的臨床療效。方法選取2011年4月—2013年5月該院收治的足踝部位軟組織損傷患者71例，隨機分為兩組，其中觀察組36例，清創後給予VSD治療，併使用腓腸神經營養皮瓣覆蓋脩複，對照組35例，僅採用常規清創與創麵換藥後腓腸神經營養皮瓣覆蓋脩複，觀察併比較兩組患者住院時間、抗生素使用時間、感染情況和疼痛程度。結果觀察組住院時間與抗生素使用時間明顯短于對照組，兩組比較差異有統計學意義（P＜0.05）；觀察組有2（5.6%）例感染，疼痛評分為（2.9±1.3）分，對照組為8（22.9%）例，疼痛評分為（6.2±2.4）分，兩組比較差異有統計學意義（P＜0.05）。結論負壓封閉吸引輔助脩複軟組織缺損的臨床療效好，能有效減少患者住院時間與感染幾率，降低疼痛程度，值得在臨床上予以推廣。
목적：평개부압봉폐흡인（VSD）보조수복연조직결손적림상료효。방법선취2011년4월—2013년5월해원수치적족과부위연조직손상환자71례，수궤분위량조，기중관찰조36례，청창후급여VSD치료，병사용비장신경영양피판복개수복，대조조35례，부채용상규청창여창면환약후비장신경영양피판복개수복，관찰병비교량조환자주원시간、항생소사용시간、감염정황화동통정도。결과관찰조주원시간여항생소사용시간명현단우대조조，량조비교차이유통계학의의（P＜0.05）；관찰조유2（5.6%）례감염，동통평분위（2.9±1.3）분，대조조위8（22.9%）례，동통평분위（6.2±2.4）분，량조비교차이유통계학의의（P＜0.05）。결론부압봉폐흡인보조수복연조직결손적림상료효호，능유효감소환자주원시간여감염궤솔，강저동통정도，치득재림상상여이추엄。
Objective To evaluate the clinical effect of vacuum sealing drainage (VSD) as the auxiliary repair on soft tissue defect. Methods 71 cases with ankle soft tissue injury admitted in our hospital from April 2011 to May 2013 were selected and divided into two groups. The ankle soft tissue injury of 36 cases in the observation group was treated by VSD after debridement, and re-paired by covering sural neurocutaneous flap, and that of 35 cases in the control group was treated by the conventional debride-ment and repaired by covering sural neurocutaneous flap. The length of stay, the duration of antibiotic use, infection and degree of pain of the two groups were observed and compared. Results The duration of hospitalization and antibiotic use of the observation group was significantly shorter than that of the control group, the difference was statistically significant (P<0.05);there were 2 cas-es (5.6%) with infection in the observation group, the pain score was (2.9±1.3) points, while there were 8 cases (22.9%) with infec-tion in the control group, the pain score was (6.2±2.4) points, the differences were statistically significant (P<0.05). Conclusion Vacuum sealing drainage as the auxiliary repair has good effect on soft tissue defect, which can effectively reduce the hospitaliza-tion time, probability of infection and the degree of pain, and is deserved to be promoted in clinical practice.
