皮肤牵张闭合器在四肢创面修复中的应用分析

Analysis on application of skin stretch closure device in limb wound repair

目的:探讨皮肤牵张闭合器在四肢创面修复中的应用分析。方法:将2015年1月-2018年1月在我院外科治疗的60例四肢创面修复患者随机分为两组,对照组采用VSD负压吸引、换药抗感染治疗后行植皮、皮瓣修复,观察组在VSD负压吸引、换药抗感染后使用皮肤牵张器闭合创面行无张力缝合创面,比较两组患者的创面愈合时间、二次手术及创面感染率、临床疗效。结果:观察组浅Ⅱ度创面愈合时间与对照组相比无明显差异(P> 0.05),但深Ⅱ度创面愈合时间明显短于对照组(P<0.05);观察组二次手术例数明显少于对照组(P<0.05),而两组术后创面感染率无明显差异(P> 0.05);观察组治疗总有效率为96.67%,与对照组的93.33%相比无明显差异(P> 0.05)。结论:皮肤牵张闭合器在四肢创面修复中的应用效果显著,可实现皮肤软组织与创面的无张力闭合,能有效缩短深部创面的愈合速度,降低二次手术率,且不增加创面感染概率,具有积极的临床意义。

Objective:To explore the application analysis of skin stretch closure device in limb wound repair.Methods:60 patients with limb wound repair received surgical treatment in our hospital from January 2015 to January 2018 were randomly divided into two groups,the control group received the VSD pressure suction,anti-infection treatment of skin graft,skin flap repair,and the observation group received the skin graft loads closed wound line without tension suture wounds after the VSD pressure suction,anti-infection treatment,the wound healing time,secondary surgery and wound infection rate,clinical curative effect of two groups of patients were compared.Results:Compared with the control group,the difference of shallow II degree wound healing time of the observation group was of no significant difference(P>0.05),but deep II wound healing time of the observation group was much shorter than that of the control group(P<0.05);The number of secondary surgical cases in the observation group was significantly lower than that in the control group(P<0.05),while the postoperative wound infection rate of the two groups was not significantly different(P>0.05).The therapeutic efficiency of the observation group was 96.67%,which was of no significant difference with the control group's 93.33%(P>0.05).Conclusion:Skin tension closer in the application of limb wound repair effect was remarkable,which could realize the skin soft tissue and no tension of wound closure,effectively shorten the deep wound healing,reduce the operation rate,and did not increase the chances of wound infection and was of positive clinical significance.