齐齐哈尔医学院学报
齊齊哈爾醫學院學報
제제합이의학원학보
Journal of Qiqihar University of Medicine
2015年
27期
4093-4095
,共3页
一期%拉网植皮%皮肤撕脱伤%皮肤缺损%VSD%负压封闭引流技术
一期%拉網植皮%皮膚撕脫傷%皮膚缺損%VSD%負壓封閉引流技術
일기%랍망식피%피부시탈상%피부결손%VSD%부압봉폐인류기술
First phase operation%Seine skin graft%Skin avulsion injury%Skin defect%VSD%Vacuum sealing drainage
目的 研究一期拉网植皮联合VSD(负压封闭引流技术Vacuum Sealing Drainage )治疗开放性皮肤撕脱及缺损的疗效. 方法 2011年2月至2015年2月期间,对16例皮肤软组织撕脱伤及缺损的患者,采用彻底清创后一期拉网植皮联合VSD覆盖创面,连接负压封闭吸引,10~12天拆除VSD材料后经过短时间换药达到伤口愈合. 结果 16例中,2例植皮存活率80%,但皮肤坏死面积较小,经过定期换药后愈合. 其余14例植皮区均存活90%以上,短期创面换药后即愈合出院. 患者对治疗效果满意. 结论 一期清创拉网植皮联合VSD覆盖创面治疗皮肤撕脱伤及缺损有效,可以在充分引流的情况下预防感染,同时创面内的适宜负压可增加植皮的存活率. 该方法可以避免患者进行第二次手术,大大缩短病人的住院时间,并降低了经济负担,可以取得满意的疗效.
目的 研究一期拉網植皮聯閤VSD(負壓封閉引流技術Vacuum Sealing Drainage )治療開放性皮膚撕脫及缺損的療效. 方法 2011年2月至2015年2月期間,對16例皮膚軟組織撕脫傷及缺損的患者,採用徹底清創後一期拉網植皮聯閤VSD覆蓋創麵,連接負壓封閉吸引,10~12天拆除VSD材料後經過短時間換藥達到傷口愈閤. 結果 16例中,2例植皮存活率80%,但皮膚壞死麵積較小,經過定期換藥後愈閤. 其餘14例植皮區均存活90%以上,短期創麵換藥後即愈閤齣院. 患者對治療效果滿意. 結論 一期清創拉網植皮聯閤VSD覆蓋創麵治療皮膚撕脫傷及缺損有效,可以在充分引流的情況下預防感染,同時創麵內的適宜負壓可增加植皮的存活率. 該方法可以避免患者進行第二次手術,大大縮短病人的住院時間,併降低瞭經濟負擔,可以取得滿意的療效.
목적 연구일기랍망식피연합VSD(부압봉폐인류기술Vacuum Sealing Drainage )치료개방성피부시탈급결손적료효. 방법 2011년2월지2015년2월기간,대16례피부연조직시탈상급결손적환자,채용철저청창후일기랍망식피연합VSD복개창면,련접부압봉폐흡인,10~12천탁제VSD재료후경과단시간환약체도상구유합. 결과 16례중,2례식피존활솔80%,단피부배사면적교소,경과정기환약후유합. 기여14례식피구균존활90%이상,단기창면환약후즉유합출원. 환자대치료효과만의. 결론 일기청창랍망식피연합VSD복개창면치료피부시탈상급결손유효,가이재충분인류적정황하예방감염,동시창면내적괄의부압가증가식피적존활솔. 해방법가이피면환자진행제이차수술,대대축단병인적주원시간,병강저료경제부담,가이취득만의적료효.
Objective To study the curative effect of first phase seine skin graft combined with VSD in the treatment of skin avulsion injury and defect .Methods From February 2012 to February 2015, 16 cases of skin avulsion injury and defect were cured by a new therapeutic method: in the first phase operation , after completed debridement , we grafted the seine autologous -skin on the surface of the wound , and then covered with VSD (Vacuum Sealing Drainage ).10-12days after operation, we removed VSD.The wound then healed with changing dressings after short time .Results After the treatment, 80% grafted skin survived in 2 cases.To the rest 14 cases,more than 90%grafted skin survived.All the cases healed in short time after removing VSD .Most patients felt satisfied .Conclusions The therapeutic method is effective for skin avulsion injury and defect .It can prevent infection by adequate drainage ,and also increase the survival rate of skin grafting .Most patients will avoid second-operation.It can shorten hospital stays and reduce hospitalization cost .So the results will be satisfied .
