封闭负压引流技术结合小腿皮神经营养血管皮瓣在小腿创面修复中的应用  

Clinical Application of Vacuum Sealing Drainage(VSD) Combining with Reversed Leg Neurovascular Flap on the Leg Wounds Repair

作　　者：蔡嬿娴[1] 王永春[1] 林森[1] 

机构地区：[1]上海交通大学医学院附属第一人民医院整形外科,上海市200080

出　　处：《组织工程与重建外科杂志》2009年第6期335-336,共2页Journal of Tissue Engineering and Reconstructive Surgery

摘　　要：目的提高小腿下1/3及足踝创面的治疗效果,减少组织损伤,减少并发症,缩短治疗时间。方法自2008年3月至2009年9月,对9例小腿下1/3及足踝部创面清创后,使用封闭负压引流技术5～7 d,再用碘伏换药约1周,接着行逆行岛状皮神经营养皮瓣修复创面。结果所有皮瓣均一期存活,无并发症。住院时间从22～30 d不等,平均23.4 d(不包括其他治疗时间)。结论采用封闭负压引流技术结合皮神经营养血管皮瓣,治疗小腿下1/3及足踝部创面效果可靠,能通过减少清创次数而减轻组织损伤、减少感染,并缩短治疗时间。Objective To evaluate the results of VSD combining with reversed leg neurovascular flap on the leg wounds repair. Methods From March 2008 to September 2009, 9 Patients underwent a common therapy of vacuum sealing drainage （VSD） combining with reversed neurovascular flap in the treatment of leg wounds. Results All flaps obtained healing by first intention. The average postopretive hospitalization days were 23.4 days （22-30 days）. Conclusion Combining VSD with reversed neurovascular flap was a recommendable procedure for repair of soft tissue defect in peri-ankle area. It can stimulate the growth of granulation tissue and reduce the hospitalization time. It is a simple, safe and effective method on the leg wounds repair.

关 键 词：软组织损伤 腓肠神经 隐神经 外科皮瓣 负压封闭引流 

分 类 号：R622[医药卫生—整形外科]