负压封闭引流技术(VSD)在治疗足背皮肤缺损中的应用

目的 负压封闭引流技术（VSD）联合回植皮方法治疗15例足背皮肤缺损患者的临床效果.方法 2012-04～2013-03间足背皮肤撕脱缺损患者均行VSD联合皮片回植手术治疗,对创面面积较大回植皮片无法完全覆盖者,择期行二期手术.结果 13例（86.67％）皮片一期成活,覆盖满意（4例完全成活,9例90％以上成活）,2例（13.33％）因缺损面积较大行二期自体游离皮片移植植皮手术治疗.结论 VSD在足背皮肤缺损患者回植手术与康复中的促进作用,可提高皮片成活率,加快创面愈合.

Application of VSD in the Treatment of Dorsal Skin Defects

Objective To report the clinical effect of VSD joint back graft treatment of 15 patients with dorsal skin defects. Methods From April, 2012 to March, 2013, avulsion of dorsal skin defects VSD patients were given skin graft joint back graft surgery. Patients whose back graft wound larger pieces can not be completely covered by two elective surgery were given two elective surgery. Results 13 cases （86.67%） was a skin graft survival, and the cover was satisfactory （4 cases survived, 9 cases survived more than 90% ）. 2 cases （ 13.33% ） due to the larger line phase defect were treated with free skin graft of autologous skin grafting surgery. Conclusion VSD replantation surgery and the promoting effect of the rehabilitation of patients in the dorsal skin defects improve skin graft survival and accelerate wound healing.