自制封闭负压引流装置治疗腹壁切口感染

Treatment of abdominal incision infection by self-made vacuum sealing drainage device

目的探讨一种自制简易封闭负压引流装置对腹壁切口感染的治疗效果。方法于2009年7月至2011年8月间利用自制封闭负压引流装置对18例术后腹壁切口感染病人施行治疗，以同期行常规开放换药治疗的18例同类型手术切口感染者作为对照，对换药次数、伤口愈合时间、换药费用等指标统计和比较，总结治疗效果和经验。结果封闭负压引流治疗组的换药次数、愈合时间、换药花费均显著低于开放换药组，P值均〈0.01。结论合理使用自制的封闭负压引流装置能加速腹壁感染切口愈合，减轻病人的痛苦和经济负担，同时减少医务人员的换药工作量，具有明显优势。

Objective To evaluate effects of self-made vacuum sealing drainage （VSD） device in the treatment of abdominal incision infection. Methods Treament of self-made VSD device was per- formed in 18 patients with postoperative abdominal incision infection from July 2009 to August 2011. Another 18 cases of same type surgical infection that underwent treatment of conventional surgery dressing were set as control group. For the total 36 patients the number of surgery dressing, the length of wound healing time and surgery dressing-related expense were analyzed. Results The num- ber of surger~ dressing, the length of wound healing time and surgery dressing-related expense in self- made VSD group were all significantly lower than that in control group. Conclusion Reasonable appli- cation of self-made VSD device in abdominal incision infection patients can accelerate wound healing, reduce suffering and economic burden of patients, decrease the workload of medical staff. It has obvious advantages compared to conventional open surgery dressing.