负压封闭引流联合自体游离皮片移植术治疗多发性小腿静脉性顽固性溃疡

Vacuum Sealing Drainage Combined with Autologous Free Skin Graft in the Treatment of Multiple Calf Venous Refractory Ulcer

目的：观察负压封闭引流（vacuum sealing drainage，VSD）联合自体游离皮片移植术治疗多发性小腿静脉性顽固性溃疡的临床效果。方法：7例（16处）下肢静脉曲张并发多发性小腿顽固性溃疡的患者在经血管外科治疗原发病后，对溃疡创面进行清创并采用 VSD 技术封闭创面，7～10 d 后视情况行 VSD 联合自体游离皮片移植术修复创面。结果：7例患者的溃疡创面均愈合，术后予以弹力绷带加压包扎，随访半年，无复发。结论：对于下肢静脉曲张所致多发性小腿静脉性顽固性溃疡，及时行 VSD 联合自体游离皮片移植术修复创面并在创面治愈后进行加压包扎，能有效提高治愈率，降低复发率。

Objective：To observe the clinical effect of vacuum sealing drainage （VSD）combined with autologous free skin grafting in the treatment of multiple calf venous refractory ulcer.Methods：A total of 7 patients （16 lesions）with lower limb varicose vein complicated by multiple calf venous refractory ulcer,who underwent vascular surgery for treatment of the primary disease,received wound closure with VSD technology after debridement.And 7-10 days later,wound was repaired by VSD combined with autologous free skin graft based on patients＇status.Results：The ulcers in 7 cases were all healed.Postoperative pressure bandaging was done with elastic bandage.There was no recurrence in six months＇follow-up.Conclusions：For multiple calf venous chronic ulcer wound caused by varix of lower limb,the timely wound repair by VSD combined with autologous free skin graft and pressure bandaging after cure can improve the cure rate and decrease the recurrence rate.