封闭式负压引流技术治疗开放性皮肤脱套伤的疗效观察  

Treatment Efficacy of Open Degloving Injury with Vacuum Sealing Drainage

作　　者：张飞[1] 何莹[2] 唐文[1] 赖光松[1] 杨千绮 高辉[1] 

机构地区：[1]赣南医学院第一附属医院骨科三区,江西赣州341000 [2]赣南医学院第一附属医院泌尿外科,江西赣州341000

出　　处：《赣南医学院学报》2015年第2期259-260,264,共3页JOURNAL OF GANNAN MEDICAL UNIVERSITY

摘　　要：目的：研究探讨综合应用封闭式负压引流（vacuum sealing drainage,VSD）在治疗开放性皮肤脱套伤中的临床疗效。方法：采用封闭式负压引流技术综合治疗四肢大面积开放性皮肤脱套伤,观察其临床疗效。结果：本组10例中有8例首次手术将皮肤修剪成全厚皮片回植后平均成活率在70%-80%,后期行游离植皮负压引流后获得痊愈,其中2例足跟部皮肤术后发生坏死,予腓动脉穿支皮瓣或腓肠神经营养血管皮瓣修复后痊愈,平均随访半年患肢肤色有不同程度色素沉着,感觉恢复（Highet评价标准）为S2-S3。结论：综合应用封闭式负压引流技术是一种治疗四肢开放性皮肤脱套伤的有效方法。Objective： To study the treatment efficacy of open degloving injury with vacuum sealing drainage. Method： To treat open degloving injury in large areas of limbs by vacuum sealing drainage. Results： In the total 10 cases,the average skin survival rate of 8 cases reached 70% - 80% after replanting the cut full-thickness skin graft in the initial operation.8 cases recovered upon operating free skin graft suction drainage in the next stage. Skin necrosis appeared in the rest 2cases after heel skin surgery. These 2 cases recovered upon peroneal artery perforator flap or sural neurovascular flap repairs. The Limb complexion had pigmentation of different extent. The sensory recovery rate attained S2 - S3 according to Highet Standard. Conclusion： Vacuum sealing drainage is an effective technology in treating open degloving injury.

关 键 词：负压引流 开放伤 皮肤脱套伤 综合治疗 

分 类 号：R622.1[医药卫生—整形外科]