负压封闭引流技术在治疗小腿骨筋膜室综合征中的应用

目的探讨传统敷料覆盖技术和负压封闭引流技术（VSD）在治疗小腿骨筋膜室综合征筋膜切开减压中的疗效。方法 46例小腿骨筋膜室综合征患者,经筋膜切开减压后采用传统敷料覆盖技术治疗19例（A组）、VSD技术治疗27例（B组）。将两组的治疗时间、感染率、植皮率进行比较。结果治疗时间：A组为6~19（10.73±3.61）d,B组为5~12（6.7±1.38）d。术后感染：A组6例,感染率31.57%;B组2例,感染率7.4%。植皮：A组11例,植皮率57.89%;B组7例,植皮率25.92%。两组的治疗时间、感染率、植皮率比较差异均有统计学意义（P〈0.05）。结论在小腿骨筋膜室综合征筋膜切开减压的治疗中,VSD技术比传统敷料覆盖技术更有效。

Application of vacuum sealing drainage for osteofascial compartment syndrome of the leg

Objective To explore the efficiency of the traditional dressing and vacuum sealing drainage（VSD） in treatment of osteofascial compartment syndrome of the leg.Methods 46 patients with osteofascial compartment syndrome of leg underwent fasciotomies.The patients were divided into two groups,traditional dressing group（group A,n=19） and vacuum sealing drainage group（group B,n=27）.The wound closure time,infection rate and skin grafting rate were compared.Results The wound closure time was 6~19（10.73±3.61） d in group A and 5~12（6.7±1.38） d in group B.The number of infection cases was 6,infection rate 31.57% in group A and 2,7.4%,in group B,respectively.The number of skin grafting was 11,skin grafting rate 57.89%,in group A and 7,skin grafting rate 25.92%,in group B,respectively.There was a significant different in the wound closure time,infection rate and skin grafting rate between group A and group B（P0.05）.Conclusions The use of the VSD for fasciotomy wound closure has a good result compared with the traditional dressing in treatment of osteofascial compartment syndrome of the leg.