Objective:To explore the effects of debridement combined with vacuum sealing drainage (VSD) technique in treatment of high-pressure paint injection injuries of hand. Methods: From April 2005 to August 2010,14 patients with high-pressure paint injection injuries of hand were treated with debridement and VSD technique within 6 hours after injury. All the patients were male, ranging in age from 23 to 47 years with an average of 36.5 years. All injuries occurred left hand, thumb injured in 5 cases,index finger in 3 cases,middle finger in 2 cases and palm in 4 cases. Injured hands swelled obviously with poor blood circulation. When the wounds were covered with fresh granulation tissue without inflammatory effusion after operation of 3-4 times,the skingrafting (9 cases) or transfer flap (5 cases) were done on the wounds. Results:All the patients were followed up from 8 to 16 months with an average of 12 months. All the wounds obtained good healing. Therapeutic effects were estimated according to TAM criteria,7 cases were excellent,6 good and 1 fair. Conclusion:In high-pressure paint injection injuries of hands,debridement combined with VSD technique can avoid wound infection,promote the growth of granulation tissue. It is beneficial to wound healing.%目的:探讨负压封闭引流(VSD)技术对手部高压油漆注射伤创面的修复作用及评价疗效.方法:自2005年4月至2010年8月,采用清创结合VSD技术治疗手部高压油漆注射伤14例,年龄23～47岁,平均36.5岁,均为男性,均为左手受伤,拇指5例,食指3例,中指2例,手掌4例.患手肿胀明显,末梢血运差.所有患者在伤后6h内急诊行清创探查及VSD封闭创面,经3～4次手术,待创面肉芽组织新鲜,无明显炎性渗出后,行植皮(9例)或转移皮瓣(5例)修复创面.结果:14例患者均获得随访,时间8～16个月,平均12个月.所有创面均愈合良好.根据TAM功能评定法评价:优7例,良6例,中1例.结论:清创结合VSD技术能够有效避免伤口感染,促进肉芽组织生成,有利于创面修复.
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