封闭式负压引流治疗四肢创伤性软组织缺损的.pdfVIP

· 1556 · Journal。厂ClinicalandExperimentalMedicineVo1．12，No．19 Oct．2013 封闭式负压引流治疗四肢创伤性软组织缺损的临床体会 杨晓明 蒋卫平 韦冰丹 黄永栋 甘坤宁 周竖平 刘建伟 (南宁市第二人民医院骨二科 广西 南宁 560031) 【摘要】 目的 观察负压封闭引流(VSD)技术治疗四肢创伤软组织缺损的，临床疗效。方法 72例四肢创伤性软 组织缺损患者随机分为观察组和对照组各36例，两组均给予对症支持治疗，观察组给予VSD技术治疗，对照组给予常 规换药处理，比较两组的疗效。结果 观察组 Ⅱ期植皮的优 良率为94．4％，显著高于对照组的72．2％(P0．05)，观 察组的 Ⅱ期创面植皮时间显著低于对照组，观察组的平均住院时间和总费用也显著低于对照组(P值均0．05)。结论 VSD技术治疗四肢创伤性软组织缺损疗效显著，可以提高 Ⅱ期植皮的优 良率，减少住院时间和总费用以及患者的痛 苦 ，值得在临床推广。 【关键词】 软组织损伤 负压封闭引流 植皮 感染 Clinicalexperienceinvacuum sealingdrainagefortreatmentoftraumaticsoft tissuedefectinlimbs．YANGXiao—ming，JIANGWei— ping，WEIBing—dan，eta1．TheSecondDepartmentofOrthopaedics，TheSecondPeoplesHospitalofNanning，NanningGuangxi560031，China． 【Abstract】 Objecfive Toobservetheclinicaleffectofvacuumsealingdrainage(VSD)intreatmentoftraumaticsofttissuedefectin limbs．M ethods Seventytwopatientswithtraumaticsofttissuedefectinlimbswererandomlydividedintotrialgroupandcontrolgroup，36pa- tientsineachgroup．Patientsinthesetwogroupsweregivenwithsymptomaticandsupportivetreatment．Patientsintrialgroupwereadditionally treatedwithvacuum sealingdrainage(VSD)techniqueandpatientsincontrolgroupwereadditionallytreatedbyconventionaldressing，andthe clinical efficacyofthesetwogroupswascompared．Results Theexcellentcurerateofskingraftingintrialgroupwas94．4％ ．itwassignificantly higherthanthatofcontrolrgoup(72．2％)(P0．05)．Thetimeforwoundskingraftingintrialgroupwassignificantlyshorterthanthatofcon。 trolrgoup，theaveragedurationofhospitalizationstayandtotalcostoftrialgroupwerealsosignificantlylowerthanthoseofcontrolgroup(allP 0．05)．Conclusion TheclinicalefficacyofVSDtechniqueintreatmentoftraumaticsofttissuedefectinlimbsissatisfactory，itcanraisetheex- cellentcurerateofskingrafting，reducethedurationofhospitalizationstayandtotalcost，andalleviatethesuffering，henceitisworthytoberec— ommendedforclinicalapplication． 【Keywords】 Softtissuedefect；Vacuumsealingdrainage；Skingraft；Infection 软组织缺损常常由高能量的