改良式负压封闭辅助闭合系统治疗腹部切口脂肪液化.docVIP

改良式负压封闭辅助闭合系统治疗腹部切口脂肪液化 于倩(大连医科大学附属二院综合一病房辽宁大连116023 R619 ［ A ］2095-1752 (2011) 23-0093-03 目的 探讨改良式负压封闭辅助闭合(vacuum-assisted closure, VAC) 系统治疗腹部切口脂肪液化的效果。方法 运用改良式VAC系统治疗58例腹部 切口脂肪液化，同时设立对照组58例，采用湿性疗法，观察两组平均换药时间、 换药次数及继发切口感染的几率。结果 实验组的平均换药时间、换药次数明显 少于对照组(plt;0.01)，切口继发感染的几率有降低趋势(p二0.057)。结论 改 良式VAC治疗切口脂肪液化具有疗效确切，方法简便，缩短换药时间，减少换 药次数，有可能降低切口感染的发生几率等特点。值得大范围推广。 关键词 负压伤口治疗 负压封闭辅助闭合(VAC) 脂肪液化 引流 Treatment of Fat Liquefaction of Abdominal Incision by Mod汗ied Vacuum-Assisted Closure YU Qian (VIP Department, the Second Affiliated Hospital of DaLian Medical University ,DaLian ,China,116023) Abstract Objective: To confer the effect of the treatment of Fat liquefaction of abdominal incision by Modified vacuum-assisted closure (VAC). Methods: 58 cases in the experimental group treated by Modified VAC and 58 cases in the control group treated by moist healing with Fat liquefaction of abdominal incision were Established, to observe the average dressing change stay, times of dressing change and Risk of sec on dary wound infecti on in the two groups.Results: The average dressi ng cha nge stay and times of dressing change in the experimental group were significantly less than those in the control group (plt;0.01) , and Risk of secondary wound infection tended to decrease (p=0.057) . Conclusion: Method of treatment of Fat liquefaction of abdominal incision by modified VAC has the characteristics of Curative effect, simple, less dressing change stay and fewer times of dressing change and it may reduce the risk of wound infection. Modified VAC should be the promotion of large-scale. Key words] Negative pressure wound therapy Vacuum-assisted closure Fat liquefactio n Drai nage 脂肪液化是指脂肪细胞受损破裂、坏死、液化的过程，脂肪崩解产物 脂肪酸刺激引起周围组织炎症反应，脂肪液化虽然不是细菌感染，但是它增加了 切口感染的机会，延长切口愈合时间，增加了住院吋间，给患者及家属增加了经 济上的负担和精神上的痛苦。腹部是切口脂肪液化的好发部位。我院在2009年 4月?2011年4月采用改良式负压封闭辅助闭合（vacuum一assisted closure, VAC） 系统治疗腹部切口脂肪液化58例，能显著加快切口的愈合，减少换药次数，取 得了很好的疗效。总结如下。 1临床资料及方法 1.1临床资料 所有116例病例均为大连医科大学附属第二医院住院采用腹部切口的 术后患者，术后出现切口