负压封闭引流术在创面游离皮片移植术中的应用进展

The progress of vacuum sealing drainage in wound free skin grafting

随着社会经济与工业化进程的发展,由高能量损伤导致的深部组织以及皮肤、筋膜或肌肉等软组织损伤的情况频繁发生,这些损伤常常伴有大小不一的创面且多数不能一期愈合。负压封闭引流术(vacuum sealing drainage,VSD)是目前治疗皮肤软组织缺损最有效的方法,其应用范围可以贯穿于治疗的整个过程。掌握VSD在二期创面植皮修复中的相关要点,对早期闭合创面、提高植皮存活率有着重要的意义。该文对VSD在创面游离皮片移植术中的应用情况作一综述。

With the development of social economy and industrialization, deep tissue and soft tissue injuries caused by high energy damage such as muscle, fascia, skin and so on occur frequently. These injuries are often ac- companied by different sizes of the wound and do not heal primarily. Vacuum sealing drainage（VSD） is so far the most effective method for treating skin and soft tissue defects. It can be applied in the whole process of the treatment. The relevant key points of VSD play an important role in the secondary skin grafting, because they can promote skin grafting survival and the early rehabilitation of the wound. We review the progress of vacuum sealing drainage in wound free skin grafting in this paper.