负压封闭引流技术在小腿带蒂岛状皮瓣供区植皮中的应用  

Application of Vacuum Sealing Drainage in Skin Grafting of Pedicled Island Flap Donor Site of Leg

作　　者：杨栋文 农慧岚 YANG Dongwen;NONG Huilan(Department three of External Surgery,Dongguan waterfront Zone Central Hospital,Dongguan Guangdong 523142,China;Outpatient Department,Dongguan waterfront Zone Central Hospital,Dongguan Guangdong 523142,China)

机构地区：[1]东莞市水乡中心医院外三科,广东东莞523142 [2]东莞市水乡中心医院门诊部,广东东莞523142

出　　处：《中国卫生标准管理》2022年第6期39-41,共3页China Health Standard Management

摘　　要：目的分析负压封闭引流技术在小腿带蒂岛状皮瓣供区植皮中的应用。方法选择52例在2017年9月—2020年8月于我院进行小腿带蒂岛状皮瓣供区植皮患者作为研究对象,并按照不同的入院时间将其分成两组,即对照组(2017年9月—2019年2月入院)与观察组(2019年3月—2020年8月入院),每组26例。对照组采用传统植皮压包技术治疗,观察组采用负压封闭引流技术治疗,对比两组患者的恢复情况(抗生素使用时间、住院时间、创面愈合时间、关节屈伸活动度)与创面感染、皮片坏死、皮下血肿发生情况。结果对照组与观察组患者的抗生素使用时间分别为(18.94±3.05)d、(10.07±1.46)d,住院时间分别为(31.15±4.66)d、(23.84±6.62)d,创面愈合时间分别为(27.57±3.81)d、(18.68±2.20)d,关节屈伸活动度分别为(90.42±8.17)°、(124.05±10.96)°,观察组的抗生素使用时间、住院时间、创面愈合时间均比对照组短,关节屈伸活动度比对照组大(P<0.05);对照组与观察组的创面感染率分别为19.23%、0,皮片坏死率分别为23.08%、3.85%,皮下血肿率分别为15.38%、0,观察组的创面感染率、皮片坏死率、皮下血肿率均低于对照组(P<0.05)。结论相对于传统植皮压包技术,在小腿带蒂岛状皮瓣供区植皮中应用负压封闭引流技术,可以促进患者恢复,减少创面感染、皮片坏死、皮下血肿的风险。Objective To analyze the application of vacuum sealing drainage(VSD)in the donor site of pedicled island flap of leg.Methods A total of 52 patients with leg pedicled island flap from September 2017 to August 2020 in our hospital were selected as the research objects,and they were divided into two groups according to different admission time,namely control group(September 2017 to February 2019)and observation group(March 2019 to August 2020),with 26 cases in each group.The control group was treated with traditional skin grafting and pressure package technology,and the observation group was treated with vacuum sealing drainage technology.The recovery of the two groups(antibiotic use time,hospitalization time,wound healing time,joint flexion and extension range of motion)and the occurrence of wound infection,skin necrosis and subcutaneous hematoma were compared.Results The antibiotic use time of the control group and the observation group were(18.94±3.05)d,(10.07±1.46)d,the hospitalization time were(31.15±4.66)d,(23.84±6.62)d,the wound healing time were(27.57±3.81)d,(18.68±2.20)d,the joint flexion and extension range of motion were(90.42±8.17)°,(124.05±10.96)°.The wound healing time was shorter and the range of motion of joint flexion and extension was larger in the control group than in the control group(P<0.05);the wound infection rate,skin necrosis rate and subcutaneous hematoma rate in the control group and the observation group were 19.23%and 0.00%,23.08%and 3.85%respectively,and 15.38%and 0.00%respectively;the wound infection rate,skin necrosis rate and subcutaneous hematoma rate in the observation group were lower than those in the control group(P<0.05).Conclusion Compared with the traditional skin grafting technique,vacuum sealing drainage can promote the recovery of patients and reduce the risk of wound infection,skin necrosis and subcutaneous hematoma.

关 键 词：传统植皮压包技术 负压封闭引流技术 小腿带蒂岛状皮瓣供区植皮 皮下血肿 创面感染 创面愈合 关节屈伸活动度 

分 类 号：R687[医药卫生—骨科学]