采用改良封闭式负压吸引技术联合皮瓣移植治疗深度慢性难愈性创面临床疗效  

The clinical curative effect of modified closed suction technique combined with flap transplantation in treating chronic refractory wound depth

作　　者：朱雁[1] 杨晓凤[1] 赖国霞[1] 苏顺清[1] 戴新明[1] 田可敬[1] 

机构地区：[1]广东东莞东华医院,广东东莞523110

出　　处：《中医临床研究》2017年第6期109-110,共2页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨改良封闭式负压吸引技术联合皮瓣移植治疗深度慢性难愈性创面临床疗效。方法:将2013年10月—2016年5月在我院外科治疗的60例深度慢性难愈性创面患者随机分为两组,对照组采用常规清创换药+皮瓣修复,观察组采用改良封闭式负压吸引技术联合皮瓣移植,比较两组患者的皮瓣移植优良率、手术各项指标及并发症、复发情况。结果:观察组皮瓣移植优良率为96.67%,显著高于对照组的83.33%,差异有统计学意义(P<0.05);观察组手术次数、创面愈合时间、术后VAS疼痛评分等均明显少于对照组,差异有统计学意义(P<0.05);观察组皮瓣下形成腔隙、低蛋白血症、贫血等并发症发生率明显低于对照组,复发率也明显较低,差异有统计学意义(P<0.05)。结论:采用改良封闭式负压吸引技术联合皮瓣移植治疗深度慢性难愈性创面临床疗效显著,能最大限度修复受损部位,减少并发症及复发,具有积极的临床意义。Objective： To explore the clinical curative effect of modified closed suction technique combined with flap transplantation in treating chronic refractory wound depth. Methods： 60 cases of patients with chronic refractory wound depth treated in our hospital from October 2013 to May 2016 were randomly divided into two group. The control group received conventional debridement and skin flap repair while the observation group received modified closed suction technique combined with flap transplantation. The excellent rate of skin flap transplantation, the indexes and complications of the two groups were compared. Results： The excellent rate of skin flap transplantation of the observation group was 96.67%, which was significantly higher than that of the control group, 83.33%, the difference was statistically significant （P 〈 0.05）; Operation times, wound healing time, postoperative VAS pain score of the observation group was significantly lower than that of the control group, the difference was statistically significant （P 〈 0.05）; The incidence of complications such as lacuna, hypoproteinemia, anemia, etc. and the recurrence rate of the observation group was significantly lower than that of the control group, the difference was statistically significant （P 〈 0.05）. Conclusion： Modified closed suction technique combined with flap transplantation had significant clinical effect in treating chronic refractory wound depth, it could repair the damaged parts and reduce complications and recurrence, and was of positive clinical significance.

关 键 词：深度慢性难愈性创面 改良封闭式负压吸引技术 皮瓣移植 临床疗效 

分 类 号：R657.18[医药卫生—外科学]