负压伤口治疗技术在瘢痕修复术后缝合切口的临床应用  

Clinical application of negative pressure wound therapy in scar repair incision

作　　者：李泰然 刘春雨 贾本川 刘刚 钱学义 潘娇妮 刘霄 LI Tairan;LIU Chunyu;JIA Benchuan;LIU Gang;QIAN Xueyi;PAN Jiaoni;LIU Xiao(Department of Burn and Plastic Surgery,General Hospital of the Northern Theater Command,Shenyang 110001,China)

机构地区：[1]北部战区总医院烧伤整形科,辽宁沈阳110001

出　　处：《中国美容整形外科杂志》2024年第9期557-559,共3页Chinese Journal of Aesthetic and Plastic Surgery

基　　金：辽宁省科学技术计划项目(2023JH2/101300061)。

摘　　要：目的探讨负压伤口治疗(negative pressure wound therapy,NPWT)技术在瘢痕修复术后缝合切口的临床应用效果。方法选取自2021年1月至2022年12月,北部战区总医院烧伤整形科收治80例增生性瘢痕患者,根据随机数字表分两组,40例/组。研究组术后切口应用NPWT技术,对照组常规换药治疗。记录、统计并分析两组患者术后换药次数、术区愈合时间、并发症发生率、患者术后疼痛程度[采用视觉模拟评分法(visual analogue scale,VAS)]和患者满意度。结果研究组患者平均换药次数少于对照组,差异有统计学意义(P<0.05);两组患者术后平均愈合时间比较,差异无统计学意义(P>0.05);VAS评分比较,研究组患者术后疼痛程度明显轻于对照组(P<0.05);研究组患者满意率优于对照组(P<0.05)。研究组拆除负压后较对照组切口缝合更加平整、干燥、无任何渗出,愈合质量更好。两组患者术后均未发生严重并发症。结论NPWT技术应用于瘢痕修复术后切口可以起到充分减张、固定、引流的作用,可减少术后换药次数,提高愈合质量,方法简单实用,值得临床推广。Objective To investigate the clinical effect of negative pressure wound therapy(NPWT)in suture incision after scar repair surgery.Methods A total of 80 patients with hypertrophic scar requiring surgical treatment admitted to the Department of Burn and Plastic Surgery ofGeneral Hospital of the Northern Theater Command from January 2021 to December 2022 were selected as the study objects and divided into different groups according to a random number table,with 40 cases in the study group and 40 cases in the control group.The study group was treated with negative pressure wound therapy,while the control group was treated with routine dressing changes.The number of postoperative dressing changes,the healing time of the operative area,the degree of postoperative pain of the patients[using visual analogue scale(VAS)]and the patient satisfaction of the two groups were recorded.Results The average number of dressing changes was significantly lower in the study group than in the control group(P<0.05).There was no significant difference between the two groups(P>0.05)for mean healing time.The degree of postoperative pain in the study group was significantly less than that in the control group(P<0.05),and the satisfaction was significantly better than that in the control group(P<0.05).Removing negative pressure for 1 week after operation,the suture incision in the study group was smoother and there was no seepage compared with the control group.No serious postoperative complications occurred in either group.Conclusion The application of negative pressure wound therapy technology to the wound after scar repair can play a full role in reducing tension,fixation and drainage,reduce the number of postoperative dressing changes,and improve the quality of healing.The method is simple and practical,and worthy of clinical promotion.

关 键 词：瘢痕修复 负压伤口治疗技术 手术切口 

分 类 号：R622[医药卫生—整形外科]