创面封闭式负压引流（VSD）治疗皮肤撕脱伤的体会

目的探讨创面封闭式负压引流（VSD）治疗技术对皮肤撕脱伤皮片原位回植治疗效果的影响。方法对2006年8月至2008年7月我科收治的皮肤撕脱伤35例患者进行随机分组。19例行创面封闭式负压引流（VSD）治疗结合真皮下血管网皮片和或中厚皮片原位回植修复术，其中17例患者经过1次治疗后，创面愈合。2例患者经过2次植皮治疗后，创面愈合。16例行常规真皮下血管网皮片和或中厚皮片原位回植修复术局部加压包扎，9例创面愈合，7例患者经过2次植皮治疗后，创面愈合。结果VSD组较常规组在治愈率、总有效率和伤口愈合时间上有统计学意义（P〈0．01）。结论创面封闭式负压引流（VSD）结合真皮下血管网皮片和中厚皮片原位回植是治疗大面积皮肤撕脱伤的较理想的方法之一，值得推广应用。

Vacuum Sealing Draina(VSD) for the Recovery With Severe Avulsion Injury

Objective To investigate the clinical results of the recovery of the severe avulsion injury with Vacuum Sealing Draina （VSD）. Methods According to a retrospective analysis of the clinical data of 35 patients with severe avulsion injury in our department from August 2006 to July 2008. They were classified into 2 groups at random, one was the VSD Group, and one was the Normal Group. Those 19 cases（the VSD Group ）were treated with VSD plus subdermal vascular network graft and/or split-thickness skin graft, of which 17 cases＇ wounds were healed after just 1 time operation and 2 cases＇ wounds were healed after 2 times skin grafting operations. Those 16 cases （the Normal Group ）were treated with enswathe plus subdermal vascular network graft and/or split-thickness skin graft, of which 9 cases＇ wounds were healed after 1 time operation and 7 cases＇ wounds were healed after 2 times skin grafting operations. Results It shows that the VSD Group has a more satisfactory statistics meaning in efficiency than the Normal Group. Conclusion Vacuum Sealing Draina（VSD） can be considered one of the effective methods for the treatment of the severe avulsion injury and is worthy to be carry out.