负压引流治疗软组织缺损感染创面效果观察

Vacuum sealing drainage in the treatment of infected wounds of soft tissue defects

目的探讨负压封闭引流(VSD)对四肢软组织缺损感染创面的治疗效果。方法回顾性分析我院2009年3月至2010年6月收治的30例软组织缺损感染的病历资料,术前彻底清创后全部给予VSD负压吸引,待肉芽新鲜后,经直接缝合、游离植皮或中厚皮片移植修复创面。结果 30例患者创面全部愈合,感染均被控制,无并发症发生。结论 VSD治疗软组织缺损感染,能促进肉芽组织生长,减轻或预防创面感染,有利于创面愈合,操作简便,利于推广。

Objective To investigate the vacuum sealing drainage（VSD）technology for infected wounds of soft tissue defects.Methods From July 2008 to June 2009,we got 30 patients with soft tissue defects,all of whom were given VSD.After the granulation was fresh,direct suture,skin graft or split-thickness skin graft were carried out to repair the wounds.Results All the cases recovered.Infections was cured without complications.Conclusion VSD in the treatment of infected wounds of soft tissue defects can promote the growth of granulation tissue,reduce or prevent wound infection,promote wound healing,and is easy to operate and promote.