负压引流治疗创伤性大面积皮肤缺损的疗效观察

摘要

目的 观察持续封闭负压引流(VSD)技术治疗创伤性大面积皮肤缺损的临床效果.方法 对2007年1月至2010年1月临床收治的40例创伤性大面积皮肤缺损行手术清创,应用持续封闭负压引流敷料覆盖创面,吸引器持续吸引治疗一周后,拆除敷料行二期植皮术.结果 接受VSD治疗的患者中37例在一次使用后直接植皮均成活,3例患者行2次VSD治疗后植皮亦成活,创面均痊愈,无一例出现伤口感染或创伤性骨髓炎.结论 VSD能彻底清除创面的分泌物和坏死组织,刺激肉芽生长,明显缩短创伤性皮肤软组织缺损的治疗时间,减轻换药痛苦,效果显著.%Objective To observe the clinical therapeutic effect of the vacuum sealing drainage (VSD) technology on complicated traumatic skin and soft tissues defect. Methods Totally 40 complicated traumatic skin and soft tissues defect patients from January 2007 to January 2010 were enrolled in this study. VSD dressing was used in all patients to cover wounds after surgical debridement. Then the dressing was removed and secondary dermepenthesis was performed. Results Totally 37 of 40 patients survived after the secondary dermepenthesis, and other 3 patients accepted two VSD treatments. Conclusions VSD treatment can significantly accelerate healing of traumatic skin and soft tissues defects by draining the wound surface completely and stimulate the proliferation of granulation tissue. It can shorten the course of disease and reduce the pain for dressing change.