改良封闭式负压吸引技术+皮瓣移植在深度慢性难愈性创面治疗中应用.pdfVIP

中国当代医药 2014年11月第21卷第32期 窑临床研究 窑 改良封闭式负压吸引技术+皮瓣移植在深度慢性 难愈性创面治疗中的应用 熊俊林 周 华 黄 毅 陈星光 邹隆耘 李 军 江西省赣州市立医院烧伤整形科袁江西赣州 341000 [摘要] 目的探讨改良封闭式负压吸引技术+皮瓣移植在深度慢性难愈性创面治疗中的应用效果遥 方法选取本 院2010年 1月耀2014年5月收治的200例深度慢性难愈性创面患者为观察组袁 采用改良封闭式负压吸引技术+ 皮瓣移植修复袁另选50例深度慢性难愈创面患者为对照组袁采用清渊扩冤创+外科换药+皮瓣修复袁观察和比较两 组手术次数尧创面感染率尧皮瓣存活率尧平均住院天数遥 数据采用SPSS 14.0统计软件进行分析遥 结果 观察组手 术次数尧创面感染率尧皮瓣存活率尧平均住院天数分别为渊2.09依0.28冤次尧0%尧99.5%尧渊31依5冤d袁对照组分别为 渊3.34依1.04冤次尧38%尧58.0%尧渊43依11冤d袁差异有统计学意义渊P约0.01冤遥 结论 改良封闭式负压吸引技术+皮瓣移植 治疗慢性难愈性创面可以减少患者手术次数尧有效控制创面感染尧缩短住院时间尧减轻患者痛苦尧降低治疗费用尧 操作简单袁值得临床推广遥 [关键词] 改良曰封闭式负压吸引技术曰慢性难愈性创面曰修复 [中图分类号] R622 [文献标识码]A [文章编号] 1674-4721渊2014冤11渊b冤-0025-03 Application of improved vacuum sealing drainage technology and skin flap graftinginthe treatmentofdeepchronic refractorywound XIONG Jun-lin ZHOUHua HUANG Yi CHENXing-guang ZOULong-yun LI Jun Departmentof BurnsandPlastic Surgery,Ganzhou Municipal HospitalinJiangxi Province,Ganzhou 341000,China [Abstract] Objective To investigate application effect of improved vacuum sealing drainage technology and skin flap grafting in the treatment of deep chronic refractory wound. Methods 200 patients with deep chronic refractory wound from January 2010 to May 2014 in our hospital were selected as observation group.Improved vacuum sealing drainage technology and skin flap grafting were used in observation group.50 patients with deep chronic refractory wound were selected as control group.Debridement (debridement),surgical dressing and skin flap grafting were applied in control group.The number of operation,wound infection rate,skin flap survival rate and the average length of hospital stay be鄄 tween two groupswere observed and compared.Data were analysed by using SPSS 14.0statistical software. Re