持续负压封闭引流术在复杂创面修复中的临床应用研究(1)
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[摘要] 目的 探讨持续负压封闭引流术在复杂创面修复中的临床应用。 方法 将2006年3月~2010年3月收治的复杂创面患者52例随机分为对照组和治疗组，每组各26例。对照组给予常规换药治疗，治疗组接受负压封闭引流术治疗，观察两组患者的创面形态学情况、Ⅱ期手术时间、创面面积、换药次数及总住院时间等。 结果 治疗组患者创面修复时间、Ⅱ期手术处理时间、治疗后的创面面积、换药次数、总住院时间均明显低于对照组(P < 0.05)。治疗组患者术后并发症少于对照组且无严重的不良反应，两组比较，差异无统计学意义(P > 0.05)。 结论 采用持续负压封闭引流术修复治疗复杂创面，能有效缩短创面修复时间，减小创面面积，提高患者的治愈率，临床疗效良好，适宜临床广泛应用。
[关键词] 负压封闭引流术；复杂创面修复；临床应用
[中图分类号] R681 [文献标识码] A [文章编号] 1673-7210(2012)02(b)-0047-02
Clinical study of continuous vacuum sealing drainage (VSD) in the complex wound repairing
XIAO Xiangjun1 ZHU Yong1 LIU Mingjiang2
1.Department of Orthopedics, Xiangya Hospital of Central South University, Hu'nan Province, Changsha 410008, China; 2.Department of Hand Surgical, the Affiliated Nanhua Hospital of Nanhua University, Hu′nan Province, Hengyang 421002, China
[Abstract] Objective To investigate the clinical application of continuous VSD in the complex wound repairing. Methods 52 patients with complex wounds from March 2006 to March 2010 were randomly divided into control group and treatment group, 26 cases in each group. The control group was given conventional medication therapy while the treatment group received continuous VSD therapy, and the morphological conditions, time of Ⅱ period operation, wound area, dressing frequency and the total hospitalization time were observed. Results The wound healing time, time of Ⅱ period operation, the wound area after treatment, dressing frequency, total hospitalization time in the treatment group were significantly lower than those of the control group (P < 0.05). The complications in the treatment group were lower than that of the control group and there was no serious adverse reactions in the two groups and there was no significant difference (P > 0.05). Conclusion The continuous VSD repairing the complex wounds can effectively reduce the wound healing time, reduce the wound area, improve the cure rate, and the clinical efficacy is good, it is suitable for widely using in clinical applications ......
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