负压封闭引流联合灌洗在深度压疮修复中的应用

Application of Vacuum Sealing Drainage Combined with Douche in the Repair of Deep Pressure Sore

目的探讨负压封闭引流联合灌洗在深度压疮修复中的疗效及临床优势。方法对2012年7月—2016年2月福建医科大学附属闽东医院烧伤整形外科收治的10例Ⅳ期压疮患者在彻底清创后,将灌洗管环绕式置于创腔的次顶端及次底端,引流管螺旋式置于创腔内,并填塞负压敷料,给予持续负压封闭引流,3~5 d更换1次负压敷料,观察治疗效果。结果所有患者中除1例患者因家庭原因中断治疗外,其余9例患者创面均完全愈合,愈合时间为25~45 d;随访3个月~1年,所有患者均未复发。结论负压封闭引流联合灌洗治疗深度压疮,可有效消除创腔,加速创面愈合,疗效显著,值得临床推广应用。

Objective To discuss the efficacy and clinical advantage of VSD combined with douche in the repair of deep pressure sore.Methods 10 patients with stage Ⅳ pressure sore,admitted to Department of Burn and Plastic Surgery, Mindong Hospital affiliated to Fujian Medical University from July 2012 to February 2016,were treated with thorough debridement followed by continued VSD for which the douche tubes were put circularly at the secondary bottom and the secondary top of the wound cavity, while the drainage tube was put spirally in the wound cavity which was filled with negative pressure dressing that was changed once every 3-5 days. Results Except one patient, who discontinued his treatment for family reasons, all patients were healed within 25-45 d.No relapse occurred during 3 months to 1 year follow-up. Conclusion Vacuum sealing drainage combined with douche can eliminate dead cavity and promote wound healing.It should be promoted in clinical practice due to its excellent clinical efficacy.