| 原位植皮+负压封闭引流技术治疗肢体大面积皮肤撕脱伤的疗效分析 |
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| 引用本文： | 魏世隽,蔡贤华,刘曦明,易磊.原位植皮+负压封闭引流技术治疗肢体大面积皮肤撕脱伤的疗效分析[J].中国中医骨伤科杂志,2011(9):38-39. |
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| 作者姓名： | 魏世隽 蔡贤华 刘曦明 易磊 |
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| 作者单位： | 广州军区武汉总医院骨科中国人民解放军骨创伤救治中心; |
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| 摘 要： | 目的:探讨原位植皮+负压封闭引流技术(vacuum sealing drainage,VSD)在治疗肢体大面积皮肤撕脱伤中的作用及效果。方法:对2006年3月~2010年3月我院收治的57例肢体大面积皮肤撕脱伤患者行一期清创原位植皮+VSD封闭引流的方法进行治疗。将2000年3月~2004年3月采用常规原位植皮打包换药治疗的69例肢体大面积皮肤撕脱伤患者作为对照组。结果:负压封闭治疗组57例患者术后无1例发生创面感染,植皮存活面积90~98%。愈合时间、换药次数、住院天数均明显低于对照组。结论:肢体大面积皮肤撕脱伤是一种严重创伤,处置不当容易并发感染、皮肤坏死等严重并发症,原位植皮+负压封闭引流技术的治疗方法可明显提高皮肤存活率及降低感染率,缩短治疗周期,减轻患者痛苦。
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| 关 键 词： | 负压封闭引流术 皮肤撕脱伤 治疗 原位植皮 |
Vacuum Sealing Drainage combined with in-situ Graft in Treating Large-area Skin Avulsion Injury |
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| WEI Shijun CAI Xianhua LIU Ximing YI LeiWuhan General Hospital of Guangzhou Military Comm,Wuhan ,China.Vacuum Sealing Drainage combined with in-situ Graft in Treating Large-area Skin Avulsion Injury[J].Chinese Journal of Traditional Medical Traumatology & Orthopeics,2011(9):38-39. |
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| Authors: | WEI Shijun CAI Xianhua LIU Ximing YI LeiWuhan General Hospital of Guangzhou Military Comm Wuhan China |
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| Institution: | WEI Shijun1 CAI Xianhua1 LIU Ximing1 YI Lei11Wuhan General Hospital of Guangzhou Military Command,Wuhan 430070,China |
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| Abstract: | Objective:To investigate the clinical effect of vacuum sealing drainage(VSD) combined with in-situ graft on large-area skin avulsion injury.Methods: From March 2006 to March 2010,57 patients with large-area skin avulsion injury were treated in our hospital.After the debridement,the in-situ graft was covered with the VSD system.Another 69 patients from March 2000 to March 2004 with large-area skin avulsion injury who were treated with routine in-situ graft combined with dressing changed served as controls.Re... |
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| Keywords: | Vacuum sealing drainage(VSD) Skin avulsion injury Treatment In-situ graft |
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