负压封闭引流技术在下肢大面积皮肤缺损合并感染的应用

目的:探讨负压封闭引流技术(Vacaum staling drainage,VSD)治疗下肢大面积皮肤缺损合并感染的临床效果.方法:对我院收治的14例下肢大面积皮肤撕脱伤患者,采用负压封闭引流技术(VSD)+网状植皮术治疗,观察其治疗效果.结果:平均使用VSD 8.5天,13例皮片全部存活,创面愈合,其中5例接受两次VSD治疗;1例皮片存活95%,经换药后,创面愈合,患肢运动功能及外观恢复良好;创面封闭时间最短者13天,最长者24天.结论:负压封闭引流技术(VSD)+网状植皮术处理下肢大面积皮肤缺损合并感染的创面,能更好地进行创面引流,控制感染加重,促进创面良好贴附,有利于移植皮片存活.

Application of Vacuum-Assisted Closure Technology in Treating Large Area of Skin Defect with Infection in Lower Limbs

Objective： To explore the clinical effects of Vacuum - Assisted Closure technology （ VAC ） in treating large area of skin defect with infection in lower limbs. Methods： 14 patients suffered from large area of skin avulsion in lower limbs were treated with VSD therapy plus mesh skin grafting. Then therapeutic effect was observed. Results： 9 cases were cured after two periods of VSD treatment. 5 cases healed after three periods of VSD treatment. All of the patients＇ motor function and appearance rehabilitated well. The shortest healing time was 13d and the longest one was 24d. Conclusion： VAC technology plus mesh skin grafting to treat skin defect with infection in lower limbs can accelerate wound drainage, control infection and promote wound to well - attached （ make wound well adhere for the grafting skin） , that is favorable to survival of grafting skin.