负压封闭引流治疗慢性骨髓炎的疗效观察

目的观察负压封闭引流（VSD）治疗慢性骨髓炎的临床疗效。方法 12例慢性骨髓炎患者先采取病灶清除处理,再给予负压封闭引流治疗,Ⅰ期封闭创面,Ⅱ期植骨,伴有软组织缺损较多者植皮或皮瓣移植修复肢体。结果 12例患者病灶清除后创面肉芽组织生长良好,血液循环丰富,局部组织无水肿,通过Ⅱ期植骨、植皮或皮瓣移植修复,均愈合,无复发。结论负压封闭引流治疗慢性骨髓炎疗效显著,安全可靠,值得临床推广应用。

Clinical observation of VSD in treatment of chronic osteomyelitis

Objective To observe the clinical efficacy of VSD in treatment of chronic osteomyelitis.Methods 12 patients with chronic osteomyelitis were first treated with debridement,then treated with VSD,Ⅰ period of wound closure,Ⅱ period of transplanting bone.The limbs of soft tissue defects higher were treated with transplanting skin or transplanting flap repair.Results The granulation tissue of facial trauma in 12 patients after debridement grew well,blood circulation were rich,local tissue was no edema.Patients were healed without recurrence through Ⅱ period of transplanting bone,transplanting skin and transplanting flap repair.Conclusion The treatment of VSD for chronic osteomyelitis has a significant effect,safe and reliable.It should be worthy of clinical application.