负压封闭引流结合断层皮片打孔移植在修复体表大面积皮肤软组织损伤中的应用

Application of vacuum sealing drainage combined with perforated grafting of split thickness skin graft in repair of large skin and soft tissue wound

目的 探讨负压封闭引流结合断层皮片打孔移植在修复体表大面积皮肤软组织损伤中的效果.方法 自2007年12月至2013年10月,对19例因外伤所致大面积皮肤软组织缺损患者,在清创后,使用负压封闭引流材料密封创面并进行负压吸引,待创面肉芽组织生长良好后,取断层皮片打孔移植修复创面.结果 本组共19例患者.使用负压封闭引流治疗1～3次,待创面肉芽组织生长良好,行植皮手术;术后皮瓣及植皮均生长良好;治疗过程换药次数少,减少了患者的痛苦.结论 负压封闭引流结合断层皮片打孔移植应用于大面积皮肤软组织创面修复,可以有效刺激创面肉芽组织快速生长,缩短病程,减少痛苦,不失为一种有效、省时、省力的好方法.

Objective To investigate the effect of vacuum sealing drainage （VSD） combined with perfo rated grafting of split thickness skin graft in repair of large skin and soft tissue wound.Methods From December 2007 to October 2013,19 cases with large skin and soft tissue wound were treated by debridement and vacuum sealing drainage for 1 to 3 times,after sufficient growth of granulation tissue,the wounds were repaired by perforated grafting of split thickness skin grafl Results After 1 to 3 times VSD treatment,growing granulation tissue on 19 cases were well which was ready for skin grafting; the postoperative grafted flaps were well; the patients suffered from fewer pains because of fewer change dressings.Conclusion VSD combined with perforated grafting of split thickness skin graft in repair of large skin and soft tissue wound can effectively stimulate the granulation tissue growing and improve the survive rate of skin graft,shorten the period in hospital,and reduce the pain of patients,so it is an effective method with time and labor-saving.