封闭负压引流在儿童四肢皮肤软组织缺损中的应用

Application of vacuum sealing drainage in treatment of skin and soft tissue defect in children extremities

目的探讨封闭负压引流（Vacuum Sealing drainage，VSD）技术在儿童四肢皮肤软组织缺损中的应用效果。方法对30例四肢创伤性皮肤软组织缺损患儿先行清创及VSD治疗，再择期闭合创面。结果30例患儿创面肉芽生长新鲜，均于肉芽组织大致覆盖创面后行游离植皮、直接缝合或组织瓣移植，获得成功。结论儿童四肢皮肤软组织缺损使用VSD负压引流能够促进创面的愈合，减少创面污染，减轻医护工作量及患儿的痛苦，为二期手术提供良好的条件。

Objective To discuss the effect of vacuum sealing drainage （VSD） in treatment of skin and soft tissue defect in children extremities. Methods 30 cases of traumatic skin and soft tissue defect in chil- dren extremities were treated with debridement and VSD. Granulation wound were closed in another operation. Results In all of the 30 patients, the granuloma of wound surface grew fresh, and the reoperation of free skin grafting,linear closure,or tissue flaps grafting were all succeeded. Conclusion Vacuum sealing drainage can accelerate the healing of traumatic skin and soft tissue defect in children extremities ,and reduce the contamination of the wounds, relieve workload and agony of the patients, and provide nicer condition for two-stage operation.