负压封闭引流技术在四肢创伤后软组织缺损修复中的应用

    The clinical application of vacuum sealing drainage technology in the repair of soft tissue defect of the limbs

    • 摘要: 目的:观察负压封闭引流(VSD)技术在四肢创伤后软组织缺损修复中的临床应用效果。方法:应用VSD技术治疗创伤后引起的四肢软组织缺损10例,其中胫骨骨折内固定术后骨外露3例,上肢大面积皮肤剥脱伤后感染创面4例,慢性经久不愈的溃疡创面3例。结果:治疗后患者创面的肉芽组织生长良好,肉芽组织致密,创面新鲜,血运佳;通过后期的植皮或皮瓣转移修复,创面愈合良好。结论:VSD技术通过改善创面的局部血液循环,减轻创面水肿,抑制创面细菌繁殖等方面来促进创面肉芽组织的生长,为后期手术做好准备。

       

      Abstract: Objective:To investigate the clinical effects of vacuum sealing drainage(VSD) technology on the repair of soft tissue defect of the limbs.Methods:Ten cases with soft tissue defects,which included 3 cases with tibial fractures with bone exposed,4 cases with large area infection of skin exfoliation and 3 cases with chronic ulcer were treated with VSD.Results:Through the VSD therapy,10 cases with good granulation tissue growth,fresh wound,good blood supply and dense granulation tissue were found,and which were treated with the phase 2 of skin grafts or flap transfer repair and received good clinical effects.Conclusions:VSD technology can improve the blood circulation of wound,reduce wound edema and inhibit bacterial growth to promote the growth of wound granulation tissue,which can provide the preparation of operation again.

       

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