一期缝合联合负压封闭引流治疗面部狗咬伤临床效果分析

摘要

Objective To investigate the clinical efficacy of primary suture combined with vacuum sealing drainage in the treatment of maxillofacial dog bite. Methods Clinical data about 37 patients of maxillofacial dog bite admitted to our hospital from 2011 to 2015 which were treated with primary suture combined with vacuum sealing drainage,were retrospectively analyzed. Results The wounds in 34 cases were primary healing,which conformed to the requirements of plastic surgery.None of them was found to have wound infection and no rabies was found. Conclusion After thorough debridement,the application of primary suture and vacuum sealing drainage with leaving a drainage tube for discontinuous rinsing to treat the dog bite wound could reduce the rate of postoperative scar hyperplasia and wound infection.%目的:探讨一期缝合联合术后应用负压封闭引流治疗面部狗咬伤的临床效果.方法:回顾性分析2011年-2015年笔者所在科室收治的面部狗咬伤患者资料共37例,均给予一期缝合联合应用负压封闭引流技术,观察并分析其临床效果.结果:37例均行一期缝合的患者中,伤口一期愈合34例,恢复效果符合整形外科要求,无1例伤口感染,均未出现狂犬病.结论:狗咬伤伤口彻底清创后,应用整形外科原则一期缝合伤口,伤口内留置细引流管间断冲洗及外用负压封闭引流,可减少术后瘢痕增生及伤口感染的发生.