负压封闭引流技术在腹腔间室综合征中的应用

Application of vacuum sealing drainage in abdominal compartment syndrome

目的探讨负压封闭引流技术(VSD)在腹腔间室综合征实施腹腔开放减压术中的临床疗效。方法回顾性分析中国人民解放军第九四医院2010年7月-2018年1月收治的16例腹腔间室综合征患者。其中男性11例,女性5例;年龄17-56岁,平均28岁。均为外伤或外伤合并腹腔重度感染。均符合腹腔间室综合征表现,术中关腹应用VSD代替腹膜关腹。结果 14例经7d VSD治疗后,肉芽新鲜,床边二期缝合关腹;2例VSD治疗7d后切口仍有较多渗液,再次彻底清创后VSD治疗,7d后肉芽新鲜,床边二期缝合关腹愈合。结论使用VSD代替腹膜关腹法较传统关腹术式治愈率高,死亡率低,平均愈合时间短。

Objective To investigate the clinical effect of vacuum sealing drainage(VSD)in open abdominal decompression for abdominal compartment syndrome.Methods A retrospective analysis was made of 16 patients with abdominal compartment syndrome admitted to the 94th Hospital of PLA from July 2010 to January 2018.Among them,there were 11 males and 5 females,aged from 17 to 56 years,with an average age of 28 years.All cases were traumatic or traumatic with severe abdominal infection.All of them accorded with the abdominal compartment syndrome.VSD was used to replace peritoneal closure during operation.Results After 7 days of VSD treatment,14 cases had fresh granulation and closed abdomen by second-stage suture at bedside;2 cases still had more exudation after 7 days of VSD treatment,and were treated by VSD again after thorough debridement.After 7 days,granulation was fresh,and closed abdomen healed by second-stage suture at bedside.Conclusion Using VSD instead of peritoneal closure has higher cure rate,lower mortality and shorter average healing time than traditional closure.