外伤性皮肤窦道的整形修复及护理

目的:观察手术扩创+封闭负压引流+植皮术治疗长时间不愈合的外伤性皮肤窦道的临床疗效。方法:外伤性皮肤窦道在局麻、臂丛麻醉或硬膜外麻醉下行扩创手术,按创面大小和形状裁剪封闭负压引流(vacuum sealing drainage,VSD)材料覆盖伤口创面,持续引流,7天拆除,伤口为新鲜肉芽组织后行植皮术并行VSD负压引流,7～10天拆除VSD材料。结果:本组82例外伤性皮肤窦道手术扩创后经1～3次封闭负压引流,伤口创面肉芽组织新鲜,经植皮术后皮片成活良好,随访6个月,伤口处瘢痕不明显,部分局部稍凹陷。结论:手术扩创+VSD负压引流+植皮术治疗长时间不愈合的外伤性皮肤窦道,该方法操作简单,痛苦小,疗效肯定,值得临床应用。

The plastic and reconstructive care of the traumatic skin sinus

Objective To investigate the effect of treatment on traumatic skin sinus with debridement, vacuum sealing drainage （VSD） and skin grafting. Methods The traumatic skin sinus was debrided under anesthesia, and the wound surface which filled with vacuum sealing drainage （VSD） material according to the size and shape of the cutting using for 7 days,the wound treatment with dressing until wound healing after cover granulation tissue, the wound surface treatment with skin grafting for 7-10 days. Results In this group,the 82 traumatic skin sinus were covered with granulation after debridement and VSD using for 1-3 times, and the skin survived well after skin grafting, With 6 monthes followed-up,the wound scar is not obvious, partial slightly sunken. Conclusion The procedure with debridement,vacuum sealing drainage （VSD） and skin grafting to cure the traumatic skin sinus is much more simpler, less painful and positive effect ,It is worth popularizing.