负压创面治疗技术修复难愈性创面

摘要

Objective To investigate the application of negative pressure wound therapy(NPWT) for refractory wounds. Methods Fifty patients with chronic refractory ulcer who were hospitalized from October 2015 to October 2017 were treated with negative pressure wound treatment and later with skin grafting or skin flap repair wounds. Results Fifty patients with refractory wounds were treated with debridement and NPWT. Some of the patients were directly cured, and the wound surface of most patients was significantly improved, which provided the conditions for the second-stage skin grafting or flap surgery to repair wounds and achieved satisfactory clinical effect. Conclusion As an innovation in surgical drainage technology, NPWT has become one of the most important measures to treat wounds.The emergence of negative pressure therapy provides a more convenient and effective method to handle the complex refractory wounds.%目的:探讨负压创面治疗技术在难愈性创面修复中的临床应用及疗效.方法:对2015年10月至2017年10月住院的50例慢性难愈性溃疡患者行负压创面治疗,后期行植皮或者有利皮瓣修复.结果:50例慢性难愈性创面患者经过清创、负压封闭引流治疗后,小部分患者直接痊愈,大部分患者创面明显改善,为二期植皮或皮瓣手术修复创造了条件,取得了满意临床效果.结论:负压创面治疗技术是一种促进创面愈合的治疗技术,已成为创面处理领域重要的治疗手段之一,为很多难愈性创面的处理提供了一个较为便捷、有效的方法.