应用负压植皮法治疗全层皮肤缺损12例临床分析

Application of negative-pressure assisted autologous skin grafting in full-thickness defect： 12 cases analysis

目的观察应用负压创面辅助自体皮肤移植治疗全层皮肤损伤的效果。方法对大面积皮肤软组织缺损者，应用负压创面辅助自体皮肤移植治疗，观察移植皮肤存活效果，并发症及预后效果等指标。结果本组共12例患者。皮肤移植全部成活，1例发生局部感染，经换药后愈合。术后随访1～12周，愈合效果满意。结论负压创面辅助自体皮肤移植是治疗全层皮肤缺损，特别是慢性感染性创面的有效的治疗方法，值得临床推广应用。

Objective To observe the effect of negative-pressure assisted autologous skin grafting in full- thickness defect. Methods Negative-pressure assisted autologous skin grafting was used to treat patients with large skin and soft tissue defect. Results Totally 12 cases were treated. All the skin grafting survived excep for 1 case with infection after skin grafting, which was recovered by dressing change for 2 weeks. All cases were followed up for 1 to 12 weeks; all were satisfied with results. Conclusion Negative-pressure assisted autolo- ~ous skingrafting is a oromisin~ method in full-thickness defect_ it is wnrthv tn u~,~ in alinl,~