简易封闭负压引流在足踝部软组织缺损治疗中的应用  

Application of Simplified Vacuum-assisted Closure Wound Therapy in the Treatment of Ankle Soft Tissue Defect

作　　者：陈淑贤[1,2] 李庐[2] 韦杏荣 李文胜[2] 汪淼 

机构地区：[1]汕头潮南民生医院骨科 [2]汕头大学医学院第一附属医院骨科,广东汕头515141

出　　处：《辽宁医学院学报》2016年第4期68-70,共3页Journal of Liaoning Medical University (LNMU) Bimonthly

基　　金：2012年度汕头市医疗重点科技计划项目;编号:汕府科[2012]113号

摘　　要：目的探讨简易封闭式负压引流技术在足踝部软组织缺损治疗中的应用效果。方法选择我院骨科2013年1月至2015年5月收治的32例足踝部软组织缺损患者为实验组,并匹配2010年1月至2012年12月相同基线资料的30患者为对照组。对照组采用传统方法换药处理创面,实验组应用自制简易封闭式负压引流方法进行创面处理,待创面感染控制、创面肉芽组织新鲜后行二期缝合、植皮等方法修复创面,对比两组二期手术待术时间、二期手术前换药次数、住院天数及住院费用。结果实验组患者二期手术待术时间、二期手术前换药次数、住院天数及住院费用均低于对照组,差异均有统计学意义(均P<0.05)。结论应用简易封闭式负压引流技术治疗足踝部软组织缺损,能有效控制创面感染、促进肉芽组织生长、减少换药次数、减轻患者痛苦、缩短疗程、节约住院费用,提高社会、经济效益。Objective To evaluate the clinical efficiency of simplified vacuum-assisted closure wound therapy in the treatment of foot and ankle soft tissue defect. Methods 32 cases of patients with foot and ankle soft tissue defect were selected as the experimental group from January 2013 to May 2015, while 30 cases of patients with the same baseline data were selected as the control group from January 2010 to December 2012. Patients in the control group were treated with the traditional method to deal with the wound, while those in the experimental group were treated with simplified vacuum-assisted closure wound therapy. All soft tissue defects were re- paired by means of skin-grafting or secondary closure after wound infection was eradicated and filled with fresh granulation tissue. Pre- operative interval time, frequency of dressing change, duration of hospitalization and hospital costs were compared. Results Preoper- ative interval time, frequency of dressing change, duration of hospitalization and hospital costs of the experimental group were lower than those of the control group, and the differences were statistically significant （P〈0. 05）. Conclusion In the treatment of foot and ankle soft tissue defect, application of simplified vacumn-assisted closure wound therapy can control wound infection effectively, pro- mote granulation tissue growing, reduce frequency of dressing change and hospital costs, relieve the pain of patients and shorten dura- tion of hospitalization, which can effectively improve the social and economic benefits.

关 键 词：简易封闭负压引流 足踝部 软组织缺损 

分 类 号：R658.3[医药卫生—外科学]