负压封闭引流技术在隆突性皮肤纤维肉瘤治疗中的应用及效果分析

Application and effect analysis of vacuum sealing drainage in the treatment of dermatofibrosarcoma protuberans

目的:探讨负压封闭引流(VSD)技术在隆突性皮肤纤维肉瘤术后创面治疗中的应用及效果。方法:选择2011年1月—2017年1月收治的隆突性皮肤纤维肉瘤患者26例,根据创面修复方式分为A组:植皮+VSD治疗组,共11例;B组:传统打包植皮组,共7例;C组:游离减张缝合组,共8例。通过比较3组患者的相关临床指标来探讨VSD技术在隆突性皮肤纤维肉瘤治疗中的应用价值。结果:A组与B+C组植皮区感染情况比较差异无统计学意义(P>0.05),局部皮片坏死情况比较差异有统计学意义(P<0.05),A组与B组修复创面面积比较差异有统计学意义(P<0.05)。结论:采用植皮+VSD技术封闭隆突性皮肤纤维肉瘤术后创面,能最大限度扩大切除范围,减少供皮区创伤,提高皮片成活率,提高患者术后生活质量,未发现增加肿瘤复发率。

Objective： To discuss the application and effect of vacuum sealing drainage（VSD） in the postoperative woumt closure therapy for dermatofibrosarcoma protuberans. Methods： From Januapy 2011 to January 2017, 26 cases of dermatofibrosareoma protuberans treated in our hospital were collected, According to the wound repair methods, all the cases were divided into group A（skiu grafting ＋ VSD treatment group, 11 cases）, group B（traditioual packing skin grafting group, 7 cases）, and group C（free reduction suture group, 8 cases）. The application value of VSD in the treatment of dermatofibrosarcoma protuberans was explored by comparing the relevant clinical indicators of the three groups of patients. Results： There was no significant difference in the skin grafting infection status （P〉O.05） and a statistically significant difference in loeal skin necrosis （P〈0.05） between the A group and the B＋C group. The difference in repaired wound area between group A and group B was statistically significant（P〈O.05）. Conclusion： Using the skin grafting combining VSD in the postoperative wound closure therapy for dermatofibrosarcoma protuberans can maximize the scope of resection, reduce donor site tramna, enhance the survival rate of flap, improve the quality of life after surgery, and no increase was found in tumor recurrence rate.