负压封闭引流技术在感染创面修复中的应用  

Application of Vacuum Sealing drainage technique in repair of the infected wound

作　　者：杨晓敏[1] 何永静[1] 朱礼昆[1] 杨蔚琪[1] 张威[1] 樊荣[1] 王继华[1] YANG Xiao-min;HE Yong-jing;ZHU Li-kun;YANG Wei-qi;ZHANG Wei;FAN Rong;WANG Ji-hua(Department of Plastic Surgery, The Second Affiliated Hospital of Kunming Medical University,Kunming 650101, Yunnan, China)

机构地区：[1]昆明医科大学第二附属医院整形外科,云南昆明650101

出　　处：《中国美容医学》2016年第8期14-17,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的：探讨负压封闭引流（VacuumSealingdrainage，VSD）技术在感染创面修复中的辅助治疗作用。方法：选取2013年1月～2015年11月收治的55例皮肤软组织缺损感染创面，先进行清创后VSD负压吸引，负压吸引后有26个创面经植皮或皮瓣覆盖，有29个创面经植皮或皮瓣转移联合VSD技术修复。对皮片及皮瓣成活情况以及颜色质地进行评价。结果：所有创面皮片及皮瓣成活好，无坏死，随访6个月～1年疗效满意，皮片及皮瓣无破溃。结论：VSD负压吸引可吸除渗液及分泌物，促进感染创面肉芽生长，加速创面愈合，有利于移植皮片及皮瓣成活，在感染创面修复中有较高的应用价值。Objective To explore the values of Vacuum Sealing drainage(VSD) technique in the treatment of infectious wound.Methods Fifty-five patients with skin defects and infected wounds were treated with sequential VSD- thickness skin grafting(TSG) or flap transplantation therapy from January 2013 to November 2015.All the skin soft tissue defect covered with theVSD devices after surgical debridement in first operation.Then 29 defects were treated by skin grafts or skin flap transplantationcombinedwith VSD therapy but 26 defects just treated by skin grafts or skin flap transplantation in second operation.Survival oftissue grafts, color and flexibility were examined and compared. Results All the skin-graft and flap survived well, no necrosis,the result were satisfying after 6 month to 1 year follwing up. The VSD treatment, in reducing tissue necrosis and infection onthe wound surfaces and promoting the growth of granulation tissue, promote wound healing, survival of skin-graft and skinflaps. Conclusion The VSD- TSG or flap transplantation therapy is a simple and effective treatment for skin defects andinfected wounds.

关 键 词：感染创面 创面修复 负压封闭引流 皮片移植 皮瓣转移 

分 类 号：R622[医药卫生—整形外科]