负压封闭引流技术治疗褥疮的临床体会

Experience in Vacuum Sealing Drainage in the Treament of Bedsore

目的：介绍负压封闭引流（vacuum sealing drainage,VSD）技术治疗褥疮的体会。方法：武汉大学中南医院整形外科2006年8月—2011年12月应用VSD技术治疗11例褥疮患者,清创后以VSD敷料覆盖创面。结果：VSD治疗8-15 d,创面逐渐缩小,肉芽组织生长良好。行皮瓣转移术治疗后,均一期愈合。结论：VSD能迅速控制创面感染,有效促进肉芽组织生长,明显缩短创面愈合时间。

Objective：To introduce the experience of vacuum sealing drainage（VSD）in the treatment of bedsore.Methods：A total of 11 patients with bedsore from Aug 2006 to Sep 2011 were debridemented and covered with VSD for the treatment of bedsore in Department of Plastic Surgery,Zhongnan Hospital,Wuhan University.Results：All the patients were dealt with VSD for 8-15 d.The size of wound reduced and granulation tissue grew well.The wound were covered with flap,the bedsore recovered satisfactorily when flap reconstruction was applied.Conclusions：VSD can immediately control the infection of wounds,effectively promote the growth of the granulation and considerably shorten the healing time.