多技术联合治疗腹部肿瘤术后继发急性蜂窝织炎疗效分析  

Clinical Efficacy of Multi⁃technique Approach in the Treatment of Acute Cellulitis Following Abdominal Tumor Surgery

作　　者：田小瑞 明志国[1] 王建明[1] 马冰 TIAN Xiaorui;MING Zhiguo;WANG Jianming;MA Bing(Department of Wound Repair,The Sixth Hospital of Shanxi Medical University,Taiyuan,Shanxi 030009,China)

机构地区：[1]山西医科大学第六医院创面修复科,山西太原030009

出　　处：《中国烧伤创疡杂志》2023年第5期349-352,共4页The Chinese Journal of Burns Wounds & Surface Ulcers

摘　　要：目的探讨多技术联合治疗腹部肿瘤术后继发急性蜂窝织炎的临床效果。方法给予2017年6月至2021年5月山西医科大学第六医院收治的68例腹部肿瘤术后继发急性蜂窝织炎患者在抗感染,纠正低蛋白血症、贫血、电解质紊乱等全身综合治疗的基础上,局部行清创术、湿润烧伤膏换药、开口锚定联合负压封闭引流治疗,观察创面愈合情况。结果68例患者中除1例患者因合并肺部感染死亡、1例患者因合并心力衰竭死亡外,其余66例患者创面均完全愈合,愈合时间为35~60 d;治疗结束后随访6个月~1年,66例患者愈后皮肤均未再发破溃及感染。结论清创、湿润烧伤膏、开口锚定以及负压封闭引流等多技术联合治疗腹部肿瘤术后继发急性蜂窝织炎,可明显促进创面愈合,疗效显著,值得临床推广应用。Objective To study the clinical efficacy of a multi-technique approach in treating acute cellulitis following abdominal tumor surgery.Methods 68 patients with acute cellulitis after abdominal tumor surgery admitted into The Sixth Hospital of Shanxi Medical University between June 2017 and May 2021 were treated with local debridement,dressing change with MEBO,incision anchoring and vacuum sealing drainage(VSD)on the basis of systemic treatments including controlling infection,correcting hypoproteinemia,anemia and electrolyte disturbance,etc.The wound healing condition was observed.Results Of the 68 patients,one died of the complication of pulmonary infection,one died of the complication of heart failure,and the other 66 patients all realized complete wound healing,and the wound healing time was 35-60 days.The follow-up of six months to one year after treatment found that the healed skin of the 66 patients didn’t develop skin ulceration or infection.Conclusion The combined application of debridement,MEBO,incision anchoring and vacuum sealing drainage in the treatment of acute cellulitis following abdominal tumor surgery can significantly promote wound healing,and the clinical efficacy is definite,deserving to be promoted in clinical practice.

关 键 词：多技术联合 急性蜂窝织炎 湿润烧伤膏 开口锚定 负压封闭引流 清创 

分 类 号：R730.5[医药卫生—肿瘤] R632.4[医药卫生—临床医学]