持续封闭负压引流治疗小面积皮肤缺损伴钢板外露

目的研究持续封闭负压引流用于小面积的皮肤缺损并钢板外露的可行性。方法选择2009年至2012年间小面积皮肤缺损伴钢板外露面积患者4例,男3例,女1例,年龄24⁵4岁,平均37岁,皮肤缺损面积分别为9、9、12、16 cm2,其中胫腓骨远端骨折3例,胫腓骨近端骨折1例。除外严重感染和骨髓炎及血供障碍者,接受清创手术后,进行持续封闭负压引流治疗,每周更换一次,直至新鲜肉芽覆盖钢板及创面。结果经平均3周(分别为2、2、3、5周)治疗,所有患者创面及钢板均被新鲜肉芽填充,没有感染患者。结论持续封闭负压引流治疗可用于小面积皮肤缺损并钢板外露患者,具有治疗简单,避免多次手术的优点。

Continuous Negative Pressure Closed Drainage to Skin Defects with Interfixation Plate Exposure

ObjectiveTo study the feasibility of continuous negative pressure closed drainage for skin defect with interfixation plate exposure MethodsFrom 2009-2012, there were 4 cases who has small area skin defect with interifxation plate exposure, 3 men and 1 woman, from 24 to 54 years old, average 37 years old.3 with distal tibie fracture and 1 with proximal tibie fracture. The skin defect area from 9 to 16 cm2 （respectively9, 9, 12 and 16 cm2）. They all received continuous negative pressure closed drainage after debridement. The material of negative pressure drainage were changed every week until the skin defect area and the plate has covered by granulation tissueResultsAfter average 3 weeks（from 2 to 5 weeks）, the skin defect area and the plate has covered by regeneration granulation tissue in all patient. No infection occur.ConclusionThe continuous negative pressure closed drainages can be used to treatment the small area skin defect with interifxation plate exposure. It can simpliify the treatment and reduce the times of operation.