封闭负压引流技术治疗机制的研究进展

Research progress of vacuum sealing drainage technique

封闭负压引流(VSD)技术自上世纪50年代被提出,经过不断改进于80年代末开始在临床上用于治疗慢性复杂性创面,VSD通过对软组织的机械性和生物学效应,可以刺激血管增生、改善血液循环,促进细胞和肉芽组织不断生长,加速组织创面愈合的疗效显著,现已广泛应用于治疗四肢创伤、皮肤软组织缺损、骨筋膜室综合征等方面,发挥了重要的作用。尽管封闭负压引流技术在外科领域应用广泛,但目前对其作用机制研究较少。本文将对封闭负压引流技术治疗的相关机制、临床应用等作一综述,为临床更加广泛应用封闭负压引流技术提供参考。

Vacuum sealing drainage technique since the fifties of the last century is proposed.Through continuous improvement in the late 1980 s began in the clinic for the treatment of chronic complex wound VSD through soft tissue mechanical and biological effects and can stimulate angiogenesis,improve blood circulation,promote the continued growth of the cells and granulation tissue,accelerate wound healing significantly. It has been widely used in the treatment of limb trauma,skin and soft tissue defect,osteofascial compartment syndrome and play an important role. Although Vacuum sealing drainage technology is widely used in the field of surgery,there are few studies on its mechanism. This article will summarize the related mechanism and clinical application of Vacuum sealing drainage technology,and provide the basis for the clinical application of Vacuum sealing drainage technology.