应用VSD结合医德保负压灌洗、引流治疗术区脂肪液化的临床疗效

摘要

目的：探讨应用负压封闭引流(vacuum sealing drainage，VSD)技术结合医德保持续负压灌洗、引流治疗术区脂肪液化的临床疗效。方法：选取笔者所在医院2010年12月-2013年1月收治的36例四肢及骨盆术后发生脂肪液化的患者，对所有患者均行脂肪液化区拆除缝线、清创，采用VSD结合医德保持续负压灌洗、引流1~2周，5~7 d更换1次新的VSD敷料，待创面清洁，肉芽新鲜后再行伤口缝合术。结果：34例患者经5~7 d VSD封闭引流，脂肪液化区肉芽组织生长良好，缝合皮肤后均愈合；2例患者因VSD堵管，再一次清创后继续VSD引流7 d，肉芽组织新鲜平整，缝合皮肤后均基本愈合。结论：VSD结合医德保负压灌洗、引流能较好地清除脂肪液化区渗液，促进肉芽生长，二期缝合愈合率高，是治疗术区脂肪液化较理想的方法之一，值得推广。%Objective:To discuss the clinical efficacy of vacuum sealing drainage(VSD) with continuous negative pressure lavaging and drainage combined with disinfectant in the treatment of operation area with fat liquefaction.Method:Select 36 patients with fat liquefaction in author’s department from December 2010 to January 2013,which all were treated through surgical debridement,and given VSD with continuous negative pressure lavaging and drainage for 1-2 weeks,VSD dressing was replaced every 5-7 days.The growth of granulation tissue was observed,and then skin was sutured.Result:The 34 patients,granulation tissue in wound grew well which were given VSD closed drainage after 5-7 days;2 patients were debrided once again because of plugging in VSD and continued to use VSD drainage for 7 days,fresh granulation tissue grown,wounds were healed after sutured.Conclusion:The application of VSD with continuous negative pressure lavaging and drainage combined with disinfectant can clear away seepage of fat liquefaction,promote the growth of granulation tissue,enhance the rate of healing,and which can be considered one of the effective methods for the treatment of operation area with fat liquefaction and is worthy to be carry out.