负压创面治疗技术修复难愈性创面  

Application of Negative Pressure Wound Therapy in Refractory Wounds Repair

作　　者：葛华强[1] 林樾[1] 燕辛[1] 许澎[1] 郑东风[1] 吴杰[1] 谭谦[1] GE Hua-qiang;LIN Yue;YAN Xin;XU Peng;ZHENG Dong-feng;WU Jie;TAN Qian(Department of Burn and Plastic Surgery,Nanjing Drum Tower Hospital,the Affiliated of Nanjing University Medical School,Nanjing 210006,Jiangsu,China))

机构地区：[1]南京大学医学院附属鼓楼医院烧伤整形科,江苏南京210006

出　　处：《中国美容医学》2018年第2期18-21,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨负压创面治疗技术在难愈性创面修复中的临床应用及疗效。方法:对2015年10月至2017年10月住院的50例慢性难愈性溃疡患者行负压创面治疗,后期行植皮或者有利皮瓣修复。结果:50例慢性难愈性创面患者经过清创、负压封闭引流治疗后,小部分患者直接痊愈,大部分患者创面明显改善,为二期植皮或皮瓣手术修复创造了条件,取得了满意临床效果。结论:负压创面治疗技术是一种促进创面愈合的治疗技术,已成为创面处理领域重要的治疗手段之一,为很多难愈性创面的处理提供了一个较为便捷、有效的方法。Objective To investigate the application of negative pressure wound therapy(NPWT)for refractory wounds.Methods Fifty patients with chronic refractory ulcer who were hospitalized from October2015to October2017were treated with negative pressure wound treatment and later with skin grafting or skin flap repair wounds.Results Fifty patients with refractory wounds were treated with debridement and NPWT.Some of the patients were directly cured,and the wound surface of most patients was significantly improved,which provided the conditions for the second-stage skin grafting or flap surgery to repair wounds and achieved satisfactory clinical effect.Conclusion As an innovation in surgical drainage technology,NPWT has become one of the most important measures to treat wounds.The emergence of negative pressure therapy provides a more convenient and effective method to handle the complex refractory wounds.

关 键 词：负压创面治疗技术 难愈性创面 糖尿病足 电烧伤 修复 

分 类 号：R622[医药卫生—整形外科]