封闭负压引流技术联合中厚皮片或皮瓣修复足部皮肤软组织缺损的分析.docVIP

精品论文 参考文献 封闭负压引流技术联合中厚皮片或皮瓣修复足部皮肤软组织缺损的分析 岳阳市广济医院骨科 湖南岳阳 414000 【摘 要】目的：探讨分析封闭负压引流技术联合中厚皮片或皮瓣修复足部皮肤软组织缺损的临床效果。方法：选取2014年2月——2015年12月我院收治的足部软组织缺损的患者75例为本次研究对象，按照伤面处理方式的不同分成两组，观察组和对照组。对照组采用常规临床创面处理，观察组采用负压引流式处理方法，对比两组患者的治疗情况。结果：观察组患者换药次数、创面愈合时间、感染率都明显低于对照组，Plt;0.05，具有统计学意义。观察组患者优68.57%，良28.57%，差2.86%，优秀率为97.14%；对照组患者优42.5%，良37.5%，差20%，优秀率为80%；观察组患者足部功能优秀率明显高于对照组，Plt;0.05，具有统计学意义。结论：封闭式负压引流技术联合中厚皮片或皮瓣修复足部皮肤软组织缺损的临床治疗效果突出，提高了患者的治疗效果，大大降低了患者的痛苦，值得临床推广。 【关键词】封闭负压引流；中厚皮片；皮瓣修复 [Abstract]：Objective：analysis of closed negative pressure drainage technique combined with thick skin graft or flap to repair the foot skin soft tissue defect of clinical effect.Methods：a total of 2014 February -- 2015 12 months in our hospital from the foot soft tissue defect with 75 cases as the research object，according to the wound surface treatment are divided into two groups，the observation group and the control group.The control group treated by routine clinical wound，the observation group by negative pressure drainage treatment method，treatment of patients in the two groups were compared.Results：patients in the observation group number of dressing，wound healing time，infection rate were obviously lower than those of the control group，P lt; 0.05，with Statistical significance.Observation group were excellent in 68.57%，good 28.57% and 2.86%，excellent rate was 97.14%；the control group patients and 42.5%，good（37.5%）and poor in 20%，excellent rate was 80%；the observation group patients with foot function excellent rate was significantly higher than that of the control group，P lt; 0.05，with statistical significance.Conclusion：closed negative pressure drainage technology in thick skin graft or flap to repair the foot skin soft tissue defects in the clinical effect of the treatment of prominent and improve the effect of the treatment of patients with，greatly reduce the suffering of patients，worthy of clinical promotion. 随着我国医疗水平的不断进步，外伤植皮技术以及创口的清理技术不断更新。足部皮肤软组织缺损治疗技术直接影响患者足部功能的预后情况[1]。本文主