皮下浅行分离缝合法联合持续负压引流治疗囊腔型压疮  

Closure of cystic cavity-type bedsore by subcutaneous undermining dissection with continuous negative pressure drainage

作　　者：李江[1] 郭小平[1] 王克华[1] 赵东红[1] 韩童[1] 郎育红[1] 彭黎军[1] 

机构地区：[1]济南军区总医院整形美容外科,济南250031

出　　处：《中华整形外科杂志》2012年第2期113-115,共3页Chinese Journal of Plastic Surgery

摘　　要：目的探讨皮下浅行分离缝合法加深部间隙持续负压引流技术在治疗囊腔型压疮中的临床效果。方法12例囊腔型压疮患者，手术清创后采用皮下浅行分离缝合法一期封闭创面，深部间隙持续负压引流，观察皮肤和深部囊腔的愈合情况，并记录统计其愈合时间。结果12例囊腔型压疮全部治愈，皮肤缝合口17～20d牢固愈合，压疮深部囊腔36—43d愈合。12例均获随访1年未复发。结论浅行分离缝合法加深部间隙持续负压引流技术是治疗囊腔型压疮的一种简单有效的方法。Objective To investigate the clinical effect of subcutaneous undermining dissection with continuous negative pressure drainage for the closure of cystic cavity-type bedsore. Methods 12 patients with cystic cavity -type bedsore underwent surgical debridement and the wounds were closed after subcutaneous undermining dissection. The negative pressure drainage was put in the deep space. The healing process was observed. Results Completed healing was achieved in all the 12 cases. The skin wounds healed after 17-20 days and the deep spaces closed after 36-43 days. 12 cases were followed up for 1 year with no occurrence. Conclusions It is an easy and effective method to treat cystic cavity -type bedsore by subcutaneous undermining dissection with continuous negative pressure drainage.

关 键 词：压力性溃疡 负压引流技术 

分 类 号：R632.1[医药卫生—外科学]