持续负压引流系统在游离植皮术中的应用  

Application of continuous negative pressure drainage system in free skin grafting

作　　者：赵月强[1] 朱占永[1] 王晓利 范华骏 童怡兰[1] 陈学杰[1] 周海孝[1] 余墨声[1] ZHAO Yueqiang;ZHU Zhanyong;WANG Xiaoli(Department of Plastic Surgery,Renmin Hospital of Wuhan University,Wuhan 430060,China)

机构地区：[1]武汉大学人民医院整形美容外科

出　　处：《临床外科杂志》2019年第12期1070-1073,共4页Journal of Clinical Surgery

摘　　要：目的比较应用持续负压引流系统与常规加压包扎植皮术的临床效果。方法 2018年3月~2018年9月急慢性创面并且需要进行植皮手术治疗的病人98例,根据术中皮片包扎方式的不同分为对照组和观察组,每组各49例。对照组采用游离植皮+常规加压包扎术治疗,观察组采用游离植皮+持续负压引流系统进行治疗。比较两组病人手术优良率、满意度、手术时间、伤口愈合时间等手术相关指标及血肿、感染、皮片不成活等术后并发症发生率。结果对照组手术结果优30例、良5例、可7例、差7例;观察组手术结果优41例、良6例、可1例、差1例。观察组病人手术优良率及满意度分别为95.92%和97.96%,对照组分别为71.43%和73.46%,两组比较差异有统计学意义(P<0.05),观察组病人手术时间较对照组缩短(P<0.05),伤口愈合时间快于对照组(P<0.05),观察组病人血肿、感染、皮片不成活等术后并发症发生率为6.12%,对照组为22.45%,两组比较差异有统计学意义(P<0.05)。结论游离植皮术应用持续负压引流系统较常规植皮加压包扎可明显提高手术效果和病人术后满意度,促进伤口愈合和降低术后并发症发生率。Objective To compare the clinical effects of continuous negative pressure drainage system and conventional compression dressing with free skin grafting.Methods Ninety-eight patients with acute and chronic wounds from March to September 2018 who requiring skin grafting were randomly divided into two groups according to the different methods of intraoperative skin banding.The control group(n=49 cases)was used free skin grafting with conventional compression dressing.The observation group(n=49 cases)was treated with free skin grafting and continuous negative pressure drainage system.The surgical outcomes,such as the excellent rate of surgery,satisfaction,operation time,and wound healing time,and the incidence of postoperative complications such as hematoma,infection,and skin failure were compared.Results The excellent and good rate of surgery(95.92%)and satisfaction(97.96%)were significantly better in the observation group than in the control group(71.43%,73.46%)(P<0.05).The operation time of the observation group was significantly shorter than that of the control group(P<0.05).The wound healing time was also significantly faster than the control group(P<0.05);the incidence of postoperative complications(6.12%)in the observation group was significantly lower than that of the control group(22.45%)(P<0.05).Conclusion The application of continuous negative pressure drainage system in conventional skin grafting can significantly improve the surgical outcome and postoperative patient satisfaction,promote wound healing and reduce the incidence of postoperative complications.

关 键 词：植皮术 加压包扎 持续负压引流系统 

分 类 号：R622[医药卫生—整形外科]