封闭负压引流治疗四肢重度软组织撕脱伤创面的体会

Vacuum-assisted closure treatment of limbs with severe soft tissue avulsion injury wound of experience

目的探讨封闭负压引流(VSD)技术治疗四肢重度软组织撕脱伤创面的临床疗效。方法自2011年1月我院采用VSD技术治疗四肢重度软组织撕脱伤创面17例(22个创面),上肢4例(5个创面),下肢13例(17个创面)。结果术后均随访至创面愈合2周。自使用VSD至创面植皮的时间平均14d(5～30d),此期间患者平均运用VSD手术2.5次(1～4次)。最终16个创面行邮票状植皮完全愈合;6个创面采用游离皮瓣转移植皮完全成活。结论 VSD技术能明显促进肉芽组织生长,帮助控制感染创面,是重度软组织撕脱伤有效的方法。

Objective Investigate the treatment of limbs with severe soft tissue avulsion injury the clinical efficacy of wound vacuum-assisted closure （VSD）. Methods From January 2011 in our hospital using the VSD technology treatment of limbs with severe soft organization avulsion injury wound 17 cases （22 wounds）, upper limb 4 cases （5 wounds）, lower limb 13 cases （ 17 wounds）. Results The postoperative follow-up to the wound healing in 2 weeks. Using the VSD to the wound and skin grafting an average of 14 days （5- 30 days）, during this period in patients with average use of VSD surgery 2.5 times （ 1 - 4 times）. 16 wounds stamp-like skin graft healed completely; 6 wounds using free flap transfer skin graft survived completely. Con- dusion VSD technology can significantly promote the growth of granulation tissue, help control the infection, wounds, severe soft tissue avulsion of the effective way.