闭式持续冲洗负压吸引技术在复杂性伤口缝合中的应用  

Application of closed continuous negative pressure suction technique in complicated wound closure

作　　者：张国辉[1] 沙珍萍[1] 崔光怀[1] 于俊凤[1] 刘友红[1] 

机构地区：[1]滨州医学院附属医院烧伤整形外科,滨州256603

出　　处：《滨州医学院学报》2017年第3期192-194,共3页Journal of Binzhou Medical University

摘　　要：目的探讨闭式持续冲洗负压吸引技术在复杂性伤口缝合中的应用价值。方法回顾某科室收治的86例各种复杂性伤口的病例,按缝合时是否应用闭式持续冲洗负压吸引技术分为A、B两组进行比较。A组为缝合时应用闭式持续冲洗负压吸引技术治疗46例,B组为常规缝合40例。结果 A组46例病例均在5~7d拔除冲洗引流装置,有2例(4.3%)发生切口裂开,换药后愈合,其余44例(96%)一期愈合;B组40例病例中有12例(30%)术后出现积液、化脓、裂开、再次形成窦道等并发症,其中10例给予再次清创缝合,其余28例(70%)一期愈合。两组比较差异有统计学意义(P<0.05)。结论闭式持续冲洗负压吸引技术是治疗复杂性伤口的有效措施,能可靠的促进伤口愈合,减少术后并发症的发生。Objective To explore the application value of continuous negative pressure suction technique in complicated wound closure. Methods We retrospectively reviewed 86 cases of a variety of complex wounds in the Department Burn Plastic Surger y, according to the closure of the use of closed continuous wash suction technology, they were divided into A group and B group for comparison. In A group,46 cases were treated by closed continuous negative pressure suction technique for suture,and in B group 40 cases were treated with conventional suture. Results In group A, the washing and drainage devices of 46 patients were removed within 5 to 7 days after the suction. Two patients （4.3%） had wound rupture and healed after dressing change, and the other 44 patients （96% ） were healed by first intention. In B group 12 （30%） patients had complications after operation such as effusion,suppuration,dehiscence,and sinus forming again,of which 10 cases were given debridement and suture, the remaining 28 cases （70%） healed. The results were statistically significant （P〈0.05）. Conclusion Closed continuous negative pressure suction technology is an effective measure to treat complicated wounds, which.can promote wound healing and reduce the incidence of postoperative complications.

关 键 词：闭式持续冲洗 负压吸引 复杂性伤口 伤口缝合 

分 类 号：R615[医药卫生—外科学]