负压封闭引流并吸附材料治疗难治性创面40例

Vacuum sealing drainage and adsorbing material in treatment of refractoriness wound in 40 cases

选择广西医科大学第四附属医院骨一科2008-01/06救治的难治性创伤患者78例,单日入院40例患者进入治疗组,采用负压封闭引流技术治疗,即将负压封闭引流材料覆盖创面后外贴半透性薄膜接负压吸引;双日入院38例患者为对照组,采用普通换药方法治疗。两组患者最后均通过游离植皮、皮瓣转移或游离皮瓣移植修复。结果显示治疗组植皮及皮瓣修复创面成活率高,创面感染率低,患者住院时间短,提示负压封闭引流是临床治疗难愈性创面的一项较好的方法。

A total of 78 patients were recruited from Department of Orthopedics in the Fourth Affiliated Hospital of Guangxi Medical University from January to June in 2008, Forty patients admitted in odd day, and they received the therapy of vacuum sealing drainage including vacuum sealing drainage to dress wound and semipermeable film for vacuum aspiration, namely curing group; 38 patients＇ hospital admission time was in even day, and they underwent a common therapy to dress a wound again, namely control group. Two groups of patients were compared addressing the free skin grafting, skin flap transfer or free skin flap transplantation. Results showed that the healing ratio of the curing group was higher, it＇s infection rate was lower, and the length of hospital stay was also shorter than the control group. Vacuum sealing drainage is a better method in clinical medicine to cure the refractoriness raw surface.