负压封闭引流技术结合深部冲洗治疗下肢露骨感染创面  

Treatment of Lower Limbs' Infectious Wounds with Bone Exposed by Vacuum Sealing Drainage and Deep Irrigation Technique

作　　者：张太元[1] 谢新敏[1] 布金鹏[1] 李来峰[1] 刘晓萌[1] 

机构地区：[1]济南市第三人民医院,山东济南250132

出　　处：《中国医学创新》2015年第13期71-73,共3页Medical Innovation of China

摘　　要：目的：探讨负压封闭引流（VSD）技术结合深部冲洗治疗下肢露骨感染创面的疗效。方法：2009年4月-2011年8月本院治疗32例下肢露骨感染创面患者，随机数字表法分为VSD技术结合深部冲洗治疗组（A组）和VSD技术治疗组（B组），从治疗时间和术后并发症进行比较分析。结果：32例患者经治疗后获12~24个月（平均18.2个月）随访，所有患者深部感染无复发。A组5~18 d（平均9.6 d）后关闭创面，B组10~21 d（平均15.6 d）后关闭创面（P〈0.05）。结论：VSD技术结合深部冲洗治疗下肢露骨感染创面能够充分发挥深部冲洗及VSD技术优势，有利于感染控制，早期闭合创面。Objective：To report clinical efficacy of vacuum sealing drainage（VSD）and deep irrigation technique in the treatment of lower limbs’ infectious wounds with bone exposed. Method：From April 2009 to August 2011,32 cases of lower limbs’ infectious wound with bone exposed were treated in our department. They were randomly divided into vacuum sealing drainage and deep irrigation technique treated group（A group）and VSD technique treated group （B group）. From the treatment time and postoperative complications to comparative analyze. Result：The 32 cases were followed up from 12 to 24 months,with an average of 18.2 months. No deep infection recurrence. The wounds were closed after VSD and deep irrigation technique for 5 to 18 days,with an average 9.6 days,and the wounds were closed after VSD technique for 10 to 21 days,with an average 15.6 days（P〈0.05）. Conclusion：VSD combined with deep irrigation technique can give full play to VSD and deep irrigation technique’s advantage,be helpful for infection control and early closed wounds.

关 键 词：感染 创面 引流术 冲洗 

分 类 号：R641[医药卫生—外科学]