微波结合负压引流专用敷料治疗皮肤软组织缺损的临床效果研究.pdfVIP

· 562 · · 社 区适 宜 技 术 · 微波结合负压引流专用敷料治疗皮肤软组织缺损的 临床效果研 究 蒙家辉 ，黄家基 ，施伟业，黄 侣 ，吴江华，温 日芳 【摘要】 目的 探讨微波结合负压引流专用敷料治疗皮肤软组织缺损的一】缶床疗效。方法 治疗组皮肤软组织缺 损61例患者，采用专用敷料负压封闭引流 (VSD)加微波治疗，7—10d揭膜，行游离植皮或皮瓣修复术，57例经一 次引流治愈，4例经二次更换引流治愈；对照组58例患者，采用每天常规换药 一植皮 一凡士林纱布加压治疗，5例边 缘少许坏死，8例植皮坏死。结果 治疗组治愈57例、显效4例 ；对照组治愈45例、显效5例、无效 8例 ，两组治疗 效果间差异有统计学意义 (u=2．593，P0．05)。治疗组创面愈合时间较对照组明显缩短，差异有统计学意义 (P O．05)。结论 微波结合负压引流专用敷料治疗皮肤软组织缺损疗效好、安全、操作简便，创面愈合快；使用VSD后 应注意观察，及时采取措施，减少并发症。 【关键词】 负压伤口疗法；封闭敷料；微波；软组织缺损 【中图分类号】R274．3 【文献标识码】B 【文章编号】1007—9572 (2011)02—0562—04 TheClincalTherapeuticEffectoftheM icrowaveCombinedwithVacuum SealingDrainageonComplictedTreatmentof SkinandSoftTissueDefect MENGJia—hui，HUANGJia—ji，SHIWei—ye，eta1．DepartmentofOrthopaedics，Peoples HospitalofLingshan，Guangxi535400，China 【Abstract】 Objective Toinvestigatethevacuumsealingdrainagewithmicrowavetreatmentofskinandsofttissuede— feetsoftheclinicalefficacy．M ethods oftreatmentgroupfrom May2008toSeptember2009 inourhospitaladmitted61casesof skinandsofttissuedefectsinpatientswithvacaunlsealingdrainagetreatment，7 ～ 10daysremovethespecialdressings，line rfeeskingrafforskinflapsurgery ，postoperativeArticle3dmicrowavetreatment2times／d，weretreatedwith5—7d；57pa— tientswerecuredafterthefirstdrainage，4patientswerecuredbysecondaryreplacementofdrainage；thecontrolgroupoverthe sameperiodthepreviousyear，58patients，using conventionaldressingwaschanged — skin graft — Vaselinegauzepacking pressuretreatment，5casesofnecrosisoftheedgealittle，afterdressing，skingraflsurvival，8casesofskin graft necrosis， andunderwentsecondaryskingraftrepair．Results Inthetreatmentgroupthaninthecontrolgroupcurerate，thetotalefficiency andwoundhealingtimewasstatisticallysignificant(P0．01)．Conclusion vacuumsealingdrainagewithmicrowavetreatment ofskinandsofttissuedefectofgoodefficacy，safety，easyoperation，Coagulantfast；theuseofvacuum —assistedclosureafter operationtoobserve，totak