VSD在下肢动脉硬化闭塞症截肢术后伤口二期愈合中的应用

Application of VSD in the second-stage wound healing after amputation of lower extremity arteriosclerosis obliterans

目的:探讨VSD技术在下肢动脉硬化闭塞症截肢术后伤口二期愈合中的临床效果。方法:2013年9月至2017年12月期间,血管外科收治的下肢动脉硬化闭塞症截肢术后伤口二期愈合的126例患者,随机分为VSD治疗组49例,常规换药组77例,对两组患者的住院时间、换药次数、创面感染率、住院费用及植皮率进行对比分析。结果:VSD组患者的住院时间、换药次数、创面感染率、住院费用及植皮率均低于常规换药组(P<0.05)。结论:VSD技术在下肢动脉硬化闭塞症截肢术后伤口二期愈合中的临床效果较好,可减少患者的住院时间、换药次数、创面感染率、住院费用及植皮率。

Objective:To explore the clinical effect of Vacuum Sealing Drainage(VSD) technique in the second-stage wound healing after amputation of lower extremity arteriosclerosis obliterans. Methods:126 patients with second-stage wound healing after amputation of lower extremity arteriosclerosis obliterans hospitalized from Sept. 2013 to Dec. 2017 were chosen and and randomly divided into the VSD treatment group(49 cases) and the conventional dressing change group(77 cases), with the length of stay, times of dressing change, the wound infection rate, the hospitalization cost and the skin grafting rate compared and analyzed. Results:The length of stay, times of dressing change, the wound infection rate, the hospitalization cost and the skin grafting rate in the VSD treatment group were significantly shorter, fewer or lower than those in the conventional dressing changing group(P<0.05). Conclusion:The clinical effect of VSD in the second-stage wound healing after amputation of lower extremity arteriosclerosis obliterans was good, which can significantly shorten the length of stay, reduce times of dressing change and lower the wound infection rate, the hospitalization cost and the skin grafting rate.