创面封闭式引流结合富血小板血浆治疗难愈性创面短期疗效观察

目的：观察VSD结合富血小板血浆治疗难愈性创面疗效和特点。方法：2010年4至2012年6月15例难愈性创面患者，男11例，女4例；年龄18～45岁，平均35.2岁。创面形成时间6～24个月，治疗前均经长期换药或多次治疗不愈，应用VSD结合自体富血小板血浆进行治疗，以创面愈合为指标，总结治疗效果和临床特点。结果：15例患者均获随访，时间3～8个月，平均5个月，所有患者创面治愈，无复发。结论：VSD结合富血小板血浆治疗难愈性创面疗效确切，明显缩短了疗程，减少了手术带来的各种创伤，且降低了治疗成本。

Short-term curative effect of vacuum sealing drainage (VSD) combined with platelet rich plasma (PRP) for the treatment of the refractory wounds

Objective: To observe the efficacy of the treatment of refractory wound by VSD combined with platelet-rich plasma. Methods: From April 2010 to June 2012,15 patients with refractory wound were treated including 11 males and 4 females with an average age of 35.2 years old ranging from 18 to 45 years old. The formation time of wound was from 6 to 24 months,which was unhealed after long-term medication or repeated treatment. The VSD combined with autologous platelet-rich plasma was applied to treat the wound. The wound healing was an indicator and treatment and clinical features were summarized. Results: All the patients were followed up for 3 to 8 months(means 5 months). The wound of all patients were healed without recurrence. Conclusion: The curative effect of VSD combined with platelet rich plasma for treatment of refractory wounds is obvious. It could reduce the treatment course and the treatment cost.