负压封闭引流在足部皮肤撕脱伤中的应用

Negative pressure closed drainage in the foot skin avulsion of the application

目的回顾分析我院在应用负压封闭引流技术﹙vacuum sealing drainage,VSD﹚对足部皮肤撕脱伤的治疗方法。方法 2010年2月~2012年1月应用VSD治疗足部大面积皮肤撕脱伤21例,在急诊创面清创后应用VSD治疗。结果本组21例,其中16例经过1次负压封闭治疗后,创面撕脱皮肤原位存活。5例由于污染较重,经过2次VSD治疗后,肉芽生长良好。结论负压封闭引流适用于足部皮肤撕脱伤的治疗,可以控制感染,刺激肉芽生长,为二期创面修复提供了良好的条件和缩短治疗时间。

Objective Analysis on Application of closed negative pressure drainage ﹙vacuum sealing drainage,VSD ﹚ on foot skin avulsion injury treatment.Methods From February in 2010 to January in 2012,there have been 21 cases in the application of VSD in treating large area skin avulsion injury of foot,VSD has been applicated after the emergency wound debridement.Results This group of 21 cases,including 16 cases after 1 negative pressure closed after treatment,wound avulsion skin in situ survival.In 5 cases due to heavier pollution,after 2 VSD after treatment,the growth of granulation good.Conclusion Vacuum sealing drainage was applied to the foot skin avulsion injury treatment,can control the infection,stimulating the growth of granulation,for a two period of wound repair has provided good conditions and shorten the treatment time.