天津医药

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封闭负压吸引技术对电烧伤创面间生态组织保护作用的临床观察

颜莘1,张明谏2,李小兵2,刘宁2,刘光晶3   

  1. 1. 天津医科大学第一中心临床学院
    2. 天津市第一中心医院烧伤整形科
    3. 天津市第一中心医院烧伤科
  • 收稿日期:2011-06-28 修回日期:2012-02-06 出版日期:2012-06-15 发布日期:2012-06-15
  • 通讯作者: 张明谏

Clinical effect of preserving the parabiosis tissue of electrical burn wounds with Vacuum sealing drainage

  • Received:2011-06-28 Revised:2012-02-06 Published:2012-06-15 Online:2012-06-15
  • Contact: ZHNG Ming-Jian

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摘要： 目的 观察封闭负压吸引技术（VSD）用于保护电烧伤创面间生态组织的作用。方法 应用封闭负压吸引技术治疗电烧伤患者30例共42处电烧伤创面，其中37处经早期清创后直接应用VSD治疗，待肉芽组织生长后游离植皮修复或行扩创缝合术；5处于早期清创行游离植皮修复后应用VSD治疗。结果 42处创面应用VSD治疗后，37处直接应用VSD治疗的创面肉芽组织生长良好，二期手术后完全愈合；5处植皮后应用VSD治疗的创面，皮片成活良好，创面均完全愈合。结论 在清创后应用VSD治疗电烧伤创面，可有效保留间生态组织，促进皮片成活，有利于电烧伤创面的修复与治疗。

关键词: 清创术, 外科皮瓣, 引流术, 矫形外科手术, 创伤和损伤, 烧伤, 电, 封闭负压吸引技术

Abstract: Objective: To investigate the use of Vacuum sealing drainage (VSD) to preserve the parabiosis tissue of electrical burn wounds. Methods: We treated 30 clinical patients with a total of 42 electrical burn wounds with VSD, included 37 wounds use VSD directly after the surgical debridement; 5 wounds use VSD after surgical debridement and skin grafts. Result: Amount to 42 wounds were treated with VSD in this series, The skin grafts survived well and the wounds were completely healed. Discussion: Application of VSD in the treatment of post-debridement electrical burn wounds is conducive to the repair of these wounds. It can be an effective method to preserve the parabiosis tissue, promote skin grafts survived.

Key words: debridement, surgical flaps, drainage, orthopedic procedures, wounds and injuries, burns, electric, 封闭负压吸引技术