摘要
目的探讨负压封闭引流技术(Vacuum sealing drainage,VSD)治疗下肢大面积皮肤缺损合并感染的临床效果。方法 14例下肢大面积皮肤撕脱伤患者,采用VSD加网状植皮术进行治疗,观察临床效果。结果本组患者平均使用VSD8.5d。13例皮片全部存活创面愈合;1例皮片存活95%,换药后创面愈合。全部患者术后患肢运动功能及外观恢复良好。结论 VSD加网状植皮术治疗下肢大面积皮肤缺损合并感染,能更好地进行创面引流,控制感染加重,促进创面良好贴附,有利于皮片存活。
Objective To evaluate the clinical effects of the vacuum sealing drainage（VSD） in treating large defect of lower limb combing with infection.Methods Fourteen patients with large skin avulsion were treated by mesh skin grafting combining with VSD.Results The average duration of VSD is 8.5 days.13 patients survived all skin wound healing,and 1 patient skin graft survival of 95%.After dressing,the wound healing,limb motor function and appearance of a good recovery.Conclusion Mesh skin grafting with VSD for treatment of large defect with infection can provide better wound drainage,control infection and promote skin graft survival.
出处
《组织工程与重建外科杂志》
2010年第4期206-207,共2页
Journal of Tissue Engineering and Reconstructive Surgery
