邮票皮片移植结合负压封闭引流治疗下肢慢性溃疡

Using stamp skin graft combined with vacuum sealing drainage to treat chronic leg ulcers

目的探讨下肢慢性溃疡创面应用负压封闭引流(VSD)+植皮手术治疗的临床效果。方法对15例下肢慢性溃疡创面有效清创,使用VSD后,取刃厚皮片或薄中厚皮片,剪成邮票状植皮后,再次使用VSD治疗。结果 15例患者植皮完全成活,随访2～3个月,未再发溃疡、感染等。结论该方法操作简单,术后护理方便,是治疗部分下肢慢性溃疡创面的有效方法。

Objective To investigate the clinical application of vacuum sealing drainage （VSD） combined with skin graft in the treatment of ulcerated surfaces of chronic leg ulcers. Methods Effective debridement was conducted in 15 cases of ulcer wounds of chronic leg ulcers. After applying VSD, thin split-thickness graft or thin intermediate thickness free skin graft was made into stamp skin grafts which was used for large patch skin graft and then VSD was applied again. Results Skin grafts for 15 patients survived completely. And there were no recurrence of ulcers and infection in the patients when followed up for 2 ～ 3 months. Conclusions VSD combined with skin graft is an effec- tive way for patients with chronic leg ulcers, and less nostonerative care is needed.