基于生物材料创面敷料封闭负压引流在创伤性骨髓炎治疗中的应用

背景：新型生物材料创面敷料封闭负压引流治疗创伤性骨髓炎可以达到较好的临床疗效。目的：观察基于生物材料创面敷料封闭负压引流应用于创伤性骨髓炎手术后治疗中的临床疗效。方法：对于创伤性骨髓炎的患者采取志愿的方式,将纳入的30例患者均分为生物材料创面敷料组、合成敷料组、常规传统换药组。结果与结论：采用封闭负压引流术后能明显缩短患者治疗时间,减少抗生素应用,而采用生物材料创面敷料组比合成敷料组的临床疗效更有优势,差异有显著性意义(P < 0.05)。提示,新型生物材料创面敷料能有效引流,提高创伤性骨髓炎的手术后的临床治疗效果。关键词：创面敷料;生物材料;封闭负压引流;创伤性骨髓炎;二次植皮doi:10.3969/j.issn.1673-8225.2012.12.023 

Clinical application of vacuum-sealing drainage based on biomaterial wound surface dressing on traumatic osteomyelitis surgery

BACKGROUND: New biomaterial wound surface dressing vacuum-sealing drainage has a good clinical curative effect on traumatic osteomyelitis surgery.OBJECTIVE: To study the curative effect of vacuum-sealing drainage based on biomaterial wound surface dressing during or after traumatic osteomyelitis surgery. METHODS: Thirty patients were divided into three groups by their wishes: biomaterial wound surface dressing group, synthetic material group, and routine pressure dressing group.RESULTS AND CONCLUSION: The vacuum-sealing drainage based on biomaterial wound surface dressing used after surgical debridement surgery can shorten treatment time, reduce antibiotic appliacations. And the therapeutic effect in biomaterial wound dressing group is better than that in synthetic material group, and the difference is significance (P < 0.05). The vacuum-sealing drainage based on biomaterial wound surface dressing can effectively extract the purulent fluid. And it improved the clinical treatment effect on traumatic osteomyelitis surgery.