负压封闭引流技术在四肢皮肤软组织缺损中的应用.pdfVIP

生物骨科材料与临床研究 年 月 OPAEDIC BIOMECHANICS MATERIALS AND CLINICAL STUDY .12. 第 卷 第 期 文章编号：swgk2007-05-0087 论著·临床研究 负压封闭引流技术在四肢皮肤软组织缺损中的应用 林 阳 陈安民 李 锋 [ ] ( ) 摘要 目的 研究负压封闭引流技术VAC 在治疗四肢皮肤软组织缺损中作用。 方法 将 102 例病人分为 VAC 组77 例，常规换药组25 例；清创术后在创面覆盖VAC 系统，待肉芽组织生长新鲜后二期植皮，比较两组的植 皮时间、创面缩小程度、换药次数、植皮愈合时间及总住院时间等指标，评估疗效。 结果 VAC 组与常组换药组 在植皮时间、创面缩小程度、换药次数、植皮愈合时间及总住院时间上均有显著性差异。 结论 负压封闭引流技 术在治疗四肢皮肤软组织缺损中较传统方法具有优越性。 [ ] 关键词 负压封闭引流；四肢；皮肤软组织缺损 [ ] [ ] 中图分类号 R318. 021 文献标识码 A The Use of Vacuum assisted closure in the Skin and Soft Tissue Defect of Extremities Lin Yang , Chen An Min, Li Feng. Tongji medical of huazhong unversity of science and technology, department of orthpe- adic. Hubei wuhan.430030 [Abstract] Obj ective To investigate the effect of Vacuum assisted closure (VAC) on the skin and soft tissue defect of extremities. Methods Divide 102 patients into two groups ：77 patients in the VAC group ，and 25 patients in the control group. Following debridement ，the wound area was covered with the VAC system. After the fresh granulation grew ad- equately ，the autogeneic skin transplantation was performed. To assess the effect of VAC by comparing the time of skin transplantation，the level of wound area shrinking, the change dressing times，th