负压封闭引流联合烧伤外科技术在治疗大面积皮肤撕脱伤中的应用

摘要

目的：探讨负压封闭引流联合烧伤外科技术治疗大面积皮肤撕脱伤的临床效果。方法：选择2012年9月-2014年10月在本科治疗的大面积皮肤撕脱伤患者13例，根据伤情特点急诊行创面清创、采用负压封闭引流，培养创面肉芽组织生长，并联合烧伤外科技术，行皮片移植或皮瓣转位。观察创面愈合时间、外观及功能恢复情况。结果：13例患者经联合治疗后创面均得到良好的修复，瘢痕增生不明显，功能得到最大限度恢复。结论：负压封闭引流联合烧伤外科技术治疗大面积皮肤撕脱伤，疗效满意，在临床上值得推广应用。%Objective:To investigate the effect of VSD combined with burn surgical technology for the treatment of large area of skin avulsion injury.Method:13 patients with large area of skin avulsion injury were included in our department from September 2012 to October 2014.According to the characteristic of injury condition were treated in emergency surgical debridement,the VSD combined with burn surgical technology,open wound granulation tissue were cultured,skin graft and transferb of skin flap.The length of healig, physical appearance,function recovery were observed. Result:The wound of 13 patients were cured satisfactorily with little scar by VSD combined with burn surgical technology, their function had been trained to its maximum potential.Conclusion:The methods of VSD combined with burn surgical technology for the treatment of large area of skin avulsion injury is an effective treatment.It is worth popularizing in basic-level hospitals.