VSD治疗皮肤软组织缺损的临床研究

目的回顾性研究并分析封闭负压引流(VSD)对皮肤软组织缺损愈合的影响。方法选择52例皮肤软组织缺损患者为观察组,采用清创后VSD负压吸引;选择30例采用清创后换药处理作为对照组,对其治疗效果进行回顾性分析,并作对比。结果两组患者在观察终点(术后1周)均可见肉芽组织,但观察组的肉芽组织更丰富,其中39例患者可游离植皮术,13例患者因创面较大和较深暂不行游离植皮术,无感染;对照组肉芽组织生长一般,创面黯淡,7例患者宜行游离植皮术,8例患者有异常分泌物等感染迹象。结论 VSD负压吸引可加速皮肤软组织缺损肉芽组织的生长,减少创面感染等并发症,缩短游离植皮的时间。

Objective To retrospectively study and analyze the influence of vacuum sealing drainage（VSD） technique on skin and soft issue defect.Methods 52 cases with skin and soft issue defect were selected to be the observation group who were treated with VSD vacuum aspiration after debridement;30 cases with skin and soft issue defect were selected to be the control group who were given dressing change after debridement.The therapeutic effects of the two groups were retrospectively analyzed and compared.Results Granulation tissues could be seen in two groups at the end point of observation（a week after treatment）,but the granulation tissues were more abundant in the observation group, among which 39 patients could have free skin grafting, 13 patients could not have free skin grafting because of large and deep wound surface, with no infection.The granulation tissue growth in the control group was just so so with bleak wound surface~ 7 patients of which could have flee skin grafting, 8 patients had a infection sign of abnormal secretions.Oonclusion VSD vacuum aspiration can accelerate the granulation tissue growth of skin and soft issue defect with less wound infection complication, and shorten the time for free skirt grafting.