负压封闭引流技术在植皮手术中的应用

摘要

Objective :To study the clinical effect of negative pressure wound therapy on skin graft .Methods :62 pa‐tients with acute or chronic wound were treated with skin graft plus negative pressure wound therapy for fixation .5 days post operations ,the dressings were removed ,three measurements were recorded ,including the take rates of the skin graft ,time of wound healing post operation ,and the number of grafting surgery .Results:Among the 62 patients , the skin graft of 59 patients survive completely after surgery ,3 of them have partial necrosis ,but soon recovered from conventional dressing change ,the total healing time was 10 .5 days on average ,and it took 1 time for the wound to heal .Conclusion:Negative pressure wound therapy is an effective method for the fixation of the skin graft ,because it can shorten the healing time ,improve the survival rate of skin graft ,which makes it a good method for wider applica‐tion .%目的：研究负压封闭引流技术在游离皮片移植术中的应用效果。方法：对我科2011年1月－2013年12月期间收治的62例急慢性创面患者采用负压封闭引流技术＋游离皮片移植的方法进行治疗，术后5d后去除负压敷料，观察皮片成活率、术后创面的愈合时间及总计手术次数。结果：在62例患者中，59例患者术后5d的皮片成活率为100％，3例患者皮片出现小部分坏死，面积均小于2cm ×1．5cm ，采用常规换药后创面愈合，术后创面愈合时间平均为10．5 d ，全部病例均需1次手术即可闭合创面。结论：负压封闭引流技术是一种有效的移植皮片固定技术，其可有效缩短皮片成活时间，提高皮片成活率，值得临床推广。