摘要
目的:探讨负压封闭引流联合微小切口减压在急性下肢动脉损伤术后骨筋膜室综合征中的疗效。方法:2008年11月-2010年10月对22例(23条肢体)急性下肢动脉损伤术后并发肢体骨筋膜室综合征患者施行负压封闭引流联合微小切口减压术。结果:23条肢体中17条减压创面肉芽新鲜,13条肢体肿胀明显消退,Ⅱ期行减压切口缝合术;6条肢体经再次清创后以VSD材料覆盖,再次负压引流后肉芽新鲜,行减压切口缝合术;缝合创面均一期愈合,无感染和植皮等。结论:负压封闭引流联合微小切口减压能有效预防急性下肢动脉损伤术后骨筋膜室综合征的发生,降低创面感染风险,促进创面修复,缩短住院天数,减少医疗费用,值得临床推广。
Objective：To evaluate vacuum sealing drainage（VSD） combined with micro incision in the treatment of osteofascial compartment syndrome after acute arterial damage.Method：From Nov 2008 to Oct 2010,22 patients（23 lower limbs） with osteofascial compartment syndrome after acute arterial damage were analyzed,all had micro incision of the limbs and covered with VSD.Result：17/23 limbs had fresh granulation,swollen decreased in 13/23 limbs.17/23 had secondary suture.6/23 limbs were debrided and covered with VSD again,and then sutured.All the sutured wound healed with no infection or skin graft.Conclusion：VSD combined with micro incision can effectively reduce osteofascial compartment syndrome after acute arterial damage.It can also reduce wound infection,facilitate wound healing,shorten length of hospital stay and reduce medical costs.
出处
《临床急诊杂志》
CAS
2011年第5期329-330,共2页
Journal of Clinical Emergency
关键词
负压引流
动脉损伤
筋膜室综合征
vacuum sealing drainage
arterial damage
osteofascial compartment syndrome
