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负压封闭引流治疗四肢大面积软组织创伤的疗效观察

黄志群,陆钢   

  1. 右江民族医学院附属医院
  • 收稿日期:2012-05-22 修回日期:2012-09-27 出版日期:2013-03-15 发布日期:2013-03-15
  • 通讯作者: 黄志群

A clinical observation of VSD treatment of a large area of soft tissue trauma of the four limbs in less-developed area

  • Received:2012-05-22 Revised:2012-09-27 Published:2013-03-15 Online:2013-03-15

摘要:

【摘要】 <正>四肢是创伤中最容易遭受损伤的部位。负压封闭引流(vacuum sealing drainage,VSD)技术具有引流彻底、促进肉芽组织生长、防止创面感染等优点[1]。我科于2009年7月—2011年11月使用VSD治疗四肢大面积皮肤软组织挫裂伤患者74例,疗效满意,报告如下。1资料与方法1.1一般资料本组74例按治疗方式不同分为实验组(VSD组)40例和对照组(换药组)34例。2组性别、年龄及受伤原因 

关键词: 负压封闭引流, 四肢, 软组织, 创伤

Abstract: Summary Background:With a large area of soft tissue trauma were difficult to repair,it not only need a long time for treatment,but also so expensive.As a result,their economic burden was increased for those patients who lived in less-developed area.Nowadays,vacuum sealing drainage technique for the repair of various wounds have been to applicate widely. Purpose:Discuss on vacuum sealing drainage treatment of a large area of soft tissue trauma and efficacy in less-developed area.Method:The 74 patients were divided into VSD group 40 cases and control group with 34 cases.Those in control group were given routine dressing change after debridement .Those in VSD group were covered with VSD dressing and continued negative pressure suction after debridement.We removed the VSD dressing 5~10 days later.Then evaluated and appraised the curative effect according to the comparison of two groups of the wound cleaning time、two stage operation time、the wound area after treatment 、frequency of dressing changes、skin effect、application of antibiotic cost、the total duration of hospitalization and so on.Result:As a result,the indicators in VSD group were better than the control group.The differences between the two group were statistically significant.(p<0.05~0.01)In conclusion,the VSD treatment of a large area of soft tissue trauma is more effective than the traditional method.The VSD treatment will develop well in less-developed area because it reduces medical costs significantly.

Key words: vacuum sealing drainage, limbs, soft tissue, trauma.