持续封闭负压引流治疗复杂创伤性皮肤软组织缺损的临床疗效观察

Clinical therapeutic effect of vacuum sealing draianage technology for treatment of traumatic skin and soft tissues defect

目的 观察持续封闭负压引流（Vacuum Sealing Drainage,VSD）技术治疗复杂创伤性皮肤软组织缺损的临床疗效.方法 对2008年2月一2010年2月临床收治的30例复杂创伤性皮肤软组织缺损行手术清创,应用VSD敷料覆盖创面,吸引器持续吸引治疗8～10d,拆除敷料行二期植皮术.结果 本组27例一次使用VSD治疗后行二期植皮全部成活;3例行两次VSD治疗后植皮全部成活.结论 VSD能彻底清除创面的分泌物和坏死组织,刺激肉芽组织生长,明显缩短创伤性皮肤软组织缺损的治疗时间,减轻换药痛苦,疗效显著.

Objective To observe the clinical therapeutic effect of the vacuum sealing drainage technology on complicated traumatic skin and soft tissues defect. Methods 30 complicated traumatic skin and soft tissues defect patients from Feb 2008 to Feb. 2010 were enrolled in this study. VSD dressing was used in all patients to cover wounds after surgical debridement. Suction was working continuously in the following 8 to 10 days,then the dressing was removed and secondary dermepenthesis was performed. Results All the skingrafts survived in 30 patients, 3 of 30 patients accepted two VSD treatments. Conclusion VSD treatment can significantly accelerate healing of traumatic skin and soft tissues defects by draining the wound surface completely and stimulating the proliferation of granulation tissue.It can shorten the course of disease and reduce the pain for dressing change.