改良负压封闭引流技术治疗复杂创伤性感染性组织缺损  

Application of modified vacuum sealing drainage technique for the treatment of complex traumatic defect associated with infection

作　　者：王晨霖[1] 姜丽华 吴红军[1] 马秉珺[1] 隋海明 

机构地区：[1]山东省文登整骨医院骨科,山东文登264400 [2]山东威海复退军人康宁医院,山东文登264400 [3]不详

出　　处：《实用手外科杂志》2011年第1期8-9,30,共3页Journal of Practical Hand Surgery

摘　　要：目的 采用改良负压封闭引流技术治疗合并感染的复合损伤创面.方法 对2007年6月-2009年9月收治的35例合并感染的复合损伤创面,采用改良封闭负压引流技术治疗,辅助抗生素溶液冲洗15～23d（平均17.5d）后行皮肤移植或皮瓣修复,21例创面植皮覆盖,14例合并骨缺损或骨外露患者行皮瓣移植术.结果 本组患者在皮肤移植或皮瓣修复前使用1～2次（平均1.4次）VSD装置处理创面,所有创面均得到彻底修复,无感染发生.结论 改良封闭负压引流技术能改善合并感染的复杂创伤创面条件,有利于后期创面修复与重建.Objective To report modified vacuum sealing drainage （VSD） technique for the treatment of complex traumatic defect associated with wound infection. Methods From June 2007 to September 2009, 35 patients with complex traumatic defect were admitted in our hospital. Secondary wound infection occurred in all cases. The defect was applied with VSD and irrigated with antibiotic solutions for 15 to 23 days （mean, 17.5 days）. Once a smooth bed of granulation tissue was established, the defect was converged with either a skin graft （n=21） or flap （n=14）. Results In this series, 1 to 2 （mean, 1.4） VSD applications were used before performance of reconstructive surgery. After surgery, wound healing was achieved in all cases. Recurrence of infection was not observed in this series. Conclusion The modified VSD technique can effectively eliminate wound infection secondary to the complex traumatic injury. Thus, a successful delayed reconstruction can be expected.

关 键 词：改良负压封闭引流技术 感染 组织缺损 

分 类 号：R473.6[医药卫生—护理学]