负压封闭引流术联合皮瓣移植在慢性溃疡创面中的应用  

Application of the vacuum sealing drainage technique combined with skin flap in chronic ulcerative wounds

作　　者：郭晓波[1] 李金晟[1] 张菊芳[1] 贾明[1] 曹树英[1] 唐亮[1] 蔡莺莲[1] 

机构地区：[1]浙江省杭州市第一人民医院整形外科,杭州310006

出　　处：《中华整形外科杂志》2012年第4期270-273,共4页Chinese Journal of Plastic Surgery

摘　　要：目的探讨负压封闭引流术（vacuumsealingdrainage，VSD）联合皮瓣移植治疗慢性溃疡性创面的可行性及有效性。方法2009年6月至2011年8月，应用VSD联合皮瓣移植治疗不同病因致慢性溃疡性创面者15例，经辅助应用VSD于创面1—6次，待感染控制、肉芽组织生长良好后选择皮瓣转移修复创面。结果除1例皮瓣尖端小面积坏死，经皮片移植后愈合外，其余皮瓣均存活良好，创面一期愈合，术后随访6—24个月，无一例感染复发。结论VSD联合皮瓣移植治疗慢性溃疡性创面，具有并发症少、皮瓣存活率高、术后感染不易复发的特点，临床效果显著。Objective To explore the feasibility and efficacy of the vacuum sealing drainage （VSD） technique combined with skin flap for the treatment of chronic ulcerative wounds. Methods From June 2009 to Aug. 2011 ,the VSD technique combined with skin flap has been applied in the treatment of 15 patients with chronic ulcerative wounds caused by various reasons. The VSD was applied to the wound for 1-6 times. When infection was controlled and fresh granulation grew, skin flap was used to cover the wound. Results Flap necrosis happened in a small area at the distal end in one case, which healed after skin graft. All the other flaps survived with primary healing. The patients were followed up for 6-24 months postoperatively with no recurrence of infection. Conclusions VSD combined with skin flap is an ideal choice for reconstruction of chronic ulcerative wounds. It has the advantages of low complications, reliable flap survival rate, and low infection recurrence.

关 键 词：负压封闭引流术 外科皮瓣 慢性溃疡性创面 

分 类 号：R632.1[医药卫生—外科学]