VSD联合中厚皮移植术修复难愈性化疗后皮肤缺损创面的效果探讨  

Discussion on repair effect of refractory skin wound after chemotherapy by VSD combined with medium-thickness skin grafting

作　　者：杨建华 李雪 YANG Jian-hua;LI Xue(Department of Hand and Foot Surgery,Shandong Provincial Third Hospital,Dezhou 253502,China)

机构地区：[1]山东省立第三医院手足外科,253502 [2]济南爱容整形美容医院,253502

出　　处：《中国实用医药》2023年第4期34-37,共4页China Practical Medicine

摘　　要：目的探讨封闭负压引流(VSD)联合中厚皮移植术修复难愈性化疗后皮肤缺损创面的临床效果。方法10例难愈性化疗后皮肤缺损患者,均采用VSD联合中厚皮移植术修复创面。观察患者并发症发生情况及修复效果,统计随访情况。结果所有患者术后均未出现严重的全身并发症,8例患者皮片全部成活,未出现皮片坏死、成活不良等情况,2例皮片边缘色黑、形成水疱,少量坏死,加强换药后安全愈合,遗留小片瘢痕。术后随访3~6个月,皮片成活良好,质地柔软,肢体活动功能正常,瘢痕增生不明显,患者满意。结论VSD联合中厚皮移植术是修复难愈性化疗后皮肤缺损创面的首选方法,其手术简单、术后成活率高,值得推广。Objective To discuss the clinical effect of vacuum sealing drainage(VSD)combined with medium-thickness skin grafting for refractory skin wound after chemotherapy.Methods 10 patients with refractory skin wound after chemotherapy all received VSD combined with medium-thickness skin grafting for wound repair.The occurrence of complications and repair effect of patients were observed,and the follow-up status was counted.Results All patients had no serious postoperative systemic complications,and all skin pieces were viable in 8 patients without skin piece necrosis or poor viability.In 2 cases,the edges of the skin pieces were black and blistered with a small amount of necrosis,which healed safely after reinforced dressing changes,leaving a small scar.After 3-6 months of postoperative follow-up,the skin pieces were viable,soft in texture,with normal limb movement and no obvious scar growth,and the patients were satisfied.Conclusion VSD combined with medium-thickness skin grafting is the preferred method for repairing refractory skin wound after chemotherapy.The surgery is simple and the survival rate is high,which is worthy of popularization.

关 键 词：封闭式负压引流 中厚皮移植术 化疗 皮肤软组织缺损 修复 

分 类 号：R622[医药卫生—整形外科]