负压吸引术在下肢溃疡植皮术后的临床疗效分析  

Analysis of Clinical Effect of Negative Pressure Aspiration Surgery after Lower Extremity Ulcer Skin Grafting

作　　者：叶茂球 牛占国[1] 万里[1] 黄静[1] 黄兆伦[1] 黄晓栋[1] YE Mao-qiu;NIU Zhan-guo;WAN Li;HUANG Jing;HUANG Zhao-lun;HUANG Xiao-dong(Department of Burns and Plastic Surgery,Dongguan People's Hospital,Dongguan,Guangdong Province,523000 China)

机构地区：[1]东莞市人民医院烧伤整形科,广东东莞523000

出　　处：《系统医学》2020年第12期42-44,共3页Systems Medicine

摘　　要：目的探讨负压吸引术在下肢溃疡植皮术后的临床效果。方法选择2017年5月—2019年4月该院收治的60例下肢溃疡植皮术后患者为研究对象,随机分为对照组与观察组,各30例,对照组下肢溃疡植皮术后接受常规治疗,观察组加负压吸引术,对两组术后创面愈合情况及疼痛程度、瘢痕评分进行观察。结果观察组皮片成活率为96.67%,较对照组80.00%高(χ^2=4.403,P<0.05);观察组创面愈合时间与术后疼痛程度、并发症发生率与对照组比较,差异有统计学意义(P<0.05);随访6个月,观察组瘢痕评分明显低于对照组(P<0.05)。结论负压吸引术用于下肢溃疡植皮术后可促进创面愈合,提高皮片成活率,也能减轻疼痛程度及瘢痕。Objective To explore the clinical effect of negative pressure aspiration surgery after lower extremity ulcer skin grafting. Methods Sixty patients with lower extremity ulcer skin grafts treated from May 2017 to April 2019 in the hospital were selected as the research subjects, and randomly divided into a control group and an observation group of30 cases each. Negative pressure suction surgery was performed to observe the wound healing, pain degree and scar score of the two groups. Results The survival rate of skin in the observation group was 96.67%, which was higher than that in the control group 80.00%(χ^2= 4.403, P<0.05);the wound healing time of the observation group was significantly different from that of the postoperative pain and complication rate compared with the control group(P<0.05);After 6 months of follow-up, the scar score of the observation group was significantly lower than that of the control group(P<0.05). Conclusion Negative pressure aspiration surgery for lower extremity ulcer skin grafting can promote wound healing, improve skin survival rate, and can also reduce pain and scars.

关 键 词：负压吸引术 下肢溃疡 植皮术后 临床效果 

分 类 号：R632.1[医药卫生—外科学]