持续负压灌洗引流技术在轴型皮瓣修复慢性感染创面中的应用  

Application of lavation and drainage with continuous negative pressure in repairing chronic infectious wounds on axial-pattern flap

作　　者：郭志谦[1] 江碧川[1] 张新合[1] 杨新蕾[1] 雷磊[1] 孟红阳[1] 米增法[1] 

机构地区：[1]中国人民解放军第174医院烧伤整形外科,福建厦门361003

出　　处：《中国美容医学》2012年第10期1687-1689,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:总结持续负压灌洗引流技术应用于轴型皮瓣修复慢性感染创面中的临床经验。方法:慢性感染创面共25例,实施轴型皮瓣修复,皮瓣下留置负压引流管进行持续负压灌洗引流7～14天,停止灌洗后维持负压吸引3～5天,拔除引流管,观察创面愈合情况。结果:所有皮瓣均存活,感染控制,创面及时修复。结论:持续负压灌洗引流有利于控制感染,促进皮瓣存活及创面修复。Objective To evaluate the repair of chronic infectious wounds on axial-pattern flap by using lavation and drainage under continuous negative pressure. Metheods Twenty-five patiens suffering chronic infectious wound were involved.After the axial-pattern flap overcastted,wounds of pations were lavaged and drained for 7N14 days under continuous negative pressure through a detained tube.Suction under negative pressure continued for 3N5days after lavation,and then grainage tube was removed.The conditions of the wounds were observed. Results All flaps survived with infection controlled and wounds cicatrized. Conclution Lavation and drainage under continuous negative pressure can help control infection,increase flaps survival and wound plerosis.

关 键 词：负压灌洗疗法 轴型皮瓣 慢性感染创面 

分 类 号：R622[医药卫生—整形外科]