封闭式负压引流术加网状植皮在足部皮肤软组织缺损中的应用

目的:研究封闭式负压引流术(VSD)加网状植皮在足部皮肤软组织缺损中的应用效果。方法:收集整理2008年10月至2009年5月17例足部皮肤软组织缺损患者,采用封闭式负压引流术加网状植皮治疗,其中男11例,女6例;年龄18～67岁,平均43岁。清创后创面用多聚乙烯醇明胶海绵材料覆盖封闭,24h不间断吸引,应用VSD技术7d,待肉芽组织生长、创面新鲜后行网状植皮治疗,术后观察皮肤颜色、皮肤存活率及足部运动功能。结果:使用VSD技术1～3次,感染得到控制,创面新鲜肉芽组织生长。给予网状植皮后,14例皮片存活率98%以上,2例皮片存活率95%以上,1例皮片出现边缘表皮坏死,换药后治愈,皮肤颜色正常,质地柔软耐磨,无压迫性溃疡,足部运动功能恢复良好。结论:封闭式负压引流术加网状植皮可以控制感染,促进新鲜肉芽组织生长,缩短急性感染创面愈合时间,值得推广应用。

Use of vacuum sealing drainage and mesh grafting in treating defects of skin and soft tissue in foot

Objective:To explore the therapeutic effectiveness of vacuum sealing drainage (VSD) technique and mesh grafting in treating defects of skin and soft tissues in foot. Methods:A retrospective analysis was done on 17 cases(11 male and 6 female) suffering from defects of skin and soft tissues in foot,which were treated by vacuum sealing drainage and mesh grafting. The age of patients was from 18 to 67 years with an average of 43 years. The wound surface was filled with polyvinyl alcohol gelatin sponge after deb...