游离植皮结合负压封闭引流技术治疗难治性褥疮创面

目的：探讨难治性褥疮创面植皮后使用负压封闭引流（vacuum sealing drainage，VSD）技术的临床效果。方法：对16例难治性褥疮患者有效清创，待缺损区创面新鲜时，取刃厚皮片或薄中厚皮片，大块邮票状植皮后，VSD敷料结合半透膜覆盖。结果：16例患者植皮完全成活，2例患者去除VSD敷料后，边缘少许坏死，积极换药后成活，皮片功能均恢复正常。结论：该手术方法操作简单，术后护理方便，是对部分褥疮患者一种较理想的植皮方法。

Free dermatoplasty combined with vacuum sealing drainage for the treatment of severe pressure sores

Objective To evaluate the clinical outcome of vacuum sealing drainage （VSD） after dermatoplasty in the treatment of defects of severe pressure sores. Methods Sixteen patients with defects of pressure sores received dermatoplasty with superficial or moderate thickness free skin graft and VSD. The VSD was removed one week later.Results Skin graft in 16 patients reactivated. In other 2 patients, a little necrosis on the edge of the dermatoplasty district after removal of VSD was seen, the skin graft reactivated after changing dressings frequently and its function was similar to the normal skin. Conclusions The method of this operation is easy to be manipulated and convenient to be nursed after operation, and is a good choice for the treatment of dermatoplasty with satisfactory effectiveness in patients of severe pressue sores.