负压封闭引流联合人工真皮自体表皮移植修复外伤性创面  

Traumatic wound therapy with vacuum-assisted closure over artificial dermis and subsequent epidermal skin graft

作　　者：张陈威[1,2] 柳大烈[1] 梁智[2] 杜晓杨 刘飞[2] 

机构地区：[1]南方医科大学珠江医院整形外科,广州510282 [2]广东医学院附属南山医院整形外科,深圳518052 [3]安徽医科大学附属省立医院整形外科,合肥230001

出　　处：《安徽医科大学学报》2013年第11期1391-1394,共4页Acta Universitatis Medicinalis Anhui

基　　金：国家自然科学基金(编号:81171831)

摘　　要：目的探讨负压封闭引流联合人工真皮自体表皮移植修复外伤性创面的临床疗效。方法25例外伤性创面均进行扩创并在负压封闭引流辅助下行人工真皮移植，平均3～5d更换一次负压引流装置。平均在移植人工真皮后14d行自体表皮移植修复创面。结果24例创面应用该方法成功治愈。仅1例因患儿创面位于肛周，负压装置经常漏气，创面被粪便反复污染，最终导致创面感染，不得不将人工真皮移除。术后随访24例患者6～18个月，受访者均对效果满意。皮片色泽良好，质地柔软，耐磨，无挛缩，功能基本恢复，创面无复发。供区无或仅伴轻度色素沉着，无瘢痕增生。结论负压封闭引流联合人工真皮自体表皮移植是修复外伤性创面的有效手段，值得临床推广应用。Objective To research the general which affect their access to social support, so as prospect of PCOS with infertility women and explore the factors to give the patients with the well social support and improve their social harmony as well as the mental tension status. Methods 208 cases of PCOS with infertility patients were selected at center for reproduction in the hospital. The patients were surveyed with general information questionnaire and the Social Support Scale （SSRS）. Statistical analysis was performed using SPSS 16.0 software. Results The average age of the patients was 26. 7 ± 3.2. The obesity rate was 19.8%, much higher than the general population （ 10% ） （P 〈 0.05）. The SSRS social support scale analysis showed that significant differences in the level of education, occupation, average monthly household income were founded （P 〈 0.05 ）. Conclusion Social support score in different occupations, income, education population of the PCOS with infertility patients are different.

关 键 词：负压封闭引流技术 人工真皮 外伤性创面 刃厚皮片 

分 类 号：R641[医药卫生—外科学] R622[医药卫生—临床医学]