负压封闭引流技术在治疗巨大创伤性滑囊炎中的应用  

Application of vacuum sealing drainage on the great traumatic bursitis

作　　者：沈影超[1] 张永良[1] 吴小涛[2] 王强[1] 孔文斌[1] 

机构地区：[1]南京中医药大学附属常熟医院骨科,江苏常熟215500 [2]东南大学附属中大医院骨科,江苏南京210009

出　　处：《东南大学学报（医学版）》2010年第4期467-468,共2页Journal of Southeast University(Medical Science Edition)

基　　金：常熟市科技局立项资助(SZD0983)

摘　　要：目的:创伤引起血肿后治疗不及时可以形成滑囊炎,巨大的滑囊炎手术切除后容易复发,本研究旨在观察应用负压封闭引流(VSD)治疗创伤性滑囊炎的效果。方法:13例巨大的创伤性滑囊炎滑囊完整切除后,在体表多处打孔,外加VSD。结果:随访3～20个月,平均8个月。1例2周后出现复发,再次手术切除继续加压包扎2周后愈合,余12例均恢复良好,一期愈合。结论:VSD可以有效引流巨大滑囊的创腔,避免感染,促进创腔愈合,提高疗效。Objective：To evaluate the clinical effect of vacuum sealing drainage（VSD） on the great traumatic bursitis which caused by hematoma after trauma.Methods：13 patients with the great traumatic bursitis were treated by excision.VSD was applied on the surface after boring.Results：Following up from 3 months to 20 months（average 8 months）,12 cases were healed,1 case relapsed after two weeks.The failure case was cured by secondary excision and pressure dressing after two weeks.Conclusion：VSD is an effective cure for great traumatic bursitis,it can avoid infection and relapse.

关 键 词：创伤 滑囊炎 负压封闭引流 

分 类 号：R686.7[医药卫生—骨科学]