改良负压封闭引流技术治疗小腿中下段顽固性窦道

Treatment of refractory sinus in the lower leg with modified VSD technique

目的:探讨改良负压封闭引流技术治疗小腿中下段顽固性窦道的疗效。方法:2010年1月至2011年12月,11例小腿中下段顽固性窦道的患者,男7例,女4例;年龄23～56岁,平均34.5岁;采用彻底病灶清理后持续闭合灌洗结合改良负压封闭引流技术治疗,治疗14～21d后拆除负压封闭引流装置行2次扩创缝合。结果:术后感染得到控制,小腿中下段窦道均顺利愈合。11例患者均获随访,时间6～14个月,平均10个月,未见复发。结论:改良负压封闭引流技术是治疗小腿中下段顽固性窦道一种有效方法。

Objective：To investigate the effects of modified vacuum sealing drainage（VSD） technique in treating refractory sinus in the lower leg. Methods：From January 2010 to December 2011,11 patients with refractory sinus in the lower leg,including 7 males and 4 females,with an average age of 34.5 years（ranged,23 to 56）. These patients were treated with modified VSD technique after thorough cleaning sinus and continuous washing. After 14 to 21 days of treatment,removed VSD and re-debrided the sinus and sutured wound. Results：Infections got control after operation,sinus in the lower leg healed. All patients were followed up from 6 to 14 months with an average of 10 months,no recidivations were found. Conclusion：Modified VSD technique is an effective method in the treatment of stubborn sinus in the lower leg.