VSD治疗大面积皮肤软组织缺损的疗效观察

目的:分析采用持续封闭负压引流治疗创伤性大面积皮肤软组织缺损的临床效果。方法:采用封闭式负压引流技术治疗我科收治的14例大面积创伤性皮肤软组织缺损患者,敷料覆盖创面,维持负压,治疗5～7d后,去除敷料行二期植皮术。结果:14例患者中12例患者二期植皮一次成功,2例患者行二次封闭式负压引流治疗后植皮全部成活。结论:封闭式负压引流能有效清除创伤性大面积软组织缺损患者创面的分泌物和坏死组织,减轻炎症性刺激,促进肉芽生长,提高植皮成功率,明显缩短治疗时间,减轻换药痛苦,值得临床推广。

Clinical therapeutic effect of the vacuum sealing drainage on complicated defect in skin and soft tissue

Objective：To observe the clinical therapeutic effect of the vacuum sealing drainage（VSD） technology on complicated traumatic skin and soft tissues defect.Method：A total of 14cases with complicated traumatic skin and soft tissues defect were enrolled in this study.VSD dressing was used in all patients to cover wounds after surgical debridement.Then the dressing was removed and secondary dermepenthesis was performed.Result：12 of 14patients survived after the secondary dermepenthesis,and other 2patients accepted two VSD treatments.Conclusion：VSD treatment can significantly accelerate healing of traumatic skin and soft tissues defects by draining the wound surface completely and stimulate the proliferation of granulation tissue.It can shorten the course of disease and reduce the pain for dressing change.