改良封闭负压引流疗法在难愈性创面治疗中的应用

Application of improved closed negative pressure therapy in treatment of refractory wounds

目的研究应用改良封闭负压引流疗法治疗难愈性创面的临床效果,探讨改良措施,为临床治疗提供参考。方法 2012年6月至2014年9月,选择解放军第二炮兵总医院烧伤科收治的64例难愈性创面患者,针对临床常用封闭负压引流疗法过程中易出现的引流不畅、海绵板结、粘连创面、皮肤副损伤等情况进行敷料随形、植入、冲洗等改良处理,并观察创面愈合情况。结果本组64例患者中,22例经改良封闭负压引流疗法治疗后自行愈合,42例经治疗后创面情况明显好转,后期采用组织移植的手术方法修复,无创面恶化情况发生。结论改良封闭负压引流疗法促进创面愈合的同时发挥有效地保护创面及周围皮肤的作用,解决了部分临床负压疗法并发症的问题。

Objective To explore the roles and the methods of improved vacuum sealing drainage in treatment of refractory wounds, and provide reference for clinical treatment. Methods Total 64 patients with refractory wound were selected, according to these common problems in the application of standard vacuum sealing drainage in refractory wounds, such as poor drainage effect, sponge harden, adhesion wound, skin damage, and so on. The improved methods included approximate shape, embedded, rinse, and so on. Results Among the 64 cases, 22 cases were cured after treatment of improved vacuum sealing drainage, 42 cases accepted tissue transplants methods to repair the wound after treatment of improved vacuum sealing drainage. Conclusion The improved vacuum sealing drainage can effectively protect the wound and surrounding skin to be injured, also can promote the healing of refractory wounds. As the same time, it solve the common problems of standard vacuum sealing drainage in treatment of refractory wounds.