张奇, 张莉, 李旭文, 熊竹友, 王怀谷. 负压封闭引流技术联合植皮治疗严重皮肤软组织缺损伴特殊感染创面[J]. 蚌埠医学院学报, 2014, 38(2): 168-170.
    引用本文: 张奇, 张莉, 李旭文, 熊竹友, 王怀谷. 负压封闭引流技术联合植皮治疗严重皮肤软组织缺损伴特殊感染创面[J]. 蚌埠医学院学报, 2014, 38(2): 168-170.
    Zhang Qi, Zhang Li, Li Xuwen, Xiong ZhuYou, Wang Huaigu. The effect of vacuum suction drainage combined with skin graft in the treatment of severe soft tissue defect complicated with special infected wound[J]. Journal of Bengbu Medical College, 2014, 38(2): 168-170.
    Citation: Zhang Qi, Zhang Li, Li Xuwen, Xiong ZhuYou, Wang Huaigu. The effect of vacuum suction drainage combined with skin graft in the treatment of severe soft tissue defect complicated with special infected wound[J]. Journal of Bengbu Medical College, 2014, 38(2): 168-170.

    负压封闭引流技术联合植皮治疗严重皮肤软组织缺损伴特殊感染创面

    The effect of vacuum suction drainage combined with skin graft in the treatment of severe soft tissue defect complicated with special infected wound

    • 摘要: 目的:探讨负压封闭引流(vacuum suctionn drainage,VSD)技术联合植皮治疗严重皮肤软组织缺损伴特殊感染创面的疗效。方法:对皮肤软组织缺损伴特殊感染创面18例患者,彻底清创后VSD敷料覆盖创面,定期抗生素药液冲洗创面,待肉芽生长,创面新鲜后行网状中厚皮片植皮,再次用VSD敷料覆盖,负压吸引并给予植皮创面0.9%氯化钠注射液慢滴治疗。结果:伤口感染控制,创面肉芽新鲜,渗血明显,表面平坦,无组织坏死及异常渗出,给予植皮治疗后移植皮片存活良好,色泽淡红,血运正常,创面愈合时间平均为14 d,平均应用VSD 2.5次。结论:VSD联合植皮是治疗皮肤软组织缺损伴特殊感染创面的有效方法。

       

      Abstract: Objective: To investigate the effects of vacuum suction drainage(VSD) combined with skin graft in the treatment of severe soft tissue defect complicated with specially infected wound. Methods: Eighteen patients with soft tissue defect complicated with special nfected wound were treated with VSD dressing and liquid antibiotics regularly irrigating the wound. The fresh and clean. wound was treated with mesh skin graft,and VSD dressing,negative pressure suction drainage and physiological saline slow dripping after ranulation tissue forming. Results: The infection in the wound was controlled,granulation was fresh and clean,oozing bleeding was obvious,wound surface was smooth and no necrotic tissue and abnormal oozing were found. The skin graft was survival,pink color and normal blood supplying after it was transplanted. The average wound healing time was 14 d and VSD dressing was applied for 2. 5 times.Conclusions: VSD combining with skin graft is an effective means for treating soft tissue defect complicated with specially infected wound.

       

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