负压创面治疗技术在大外科领域的临床应用进展

Advances in the clinical application of negative pressure wound therapy in the field of surgery

封闭负压创面治疗新技术不仅大大提升了整形外科专业复杂难愈合创面的治疗水平,同时也在大外科领域得到广泛应用。该文对封闭负压创面治疗技术用于预防外科手术切口并发症、治疗术后伤口感染与裂开、各种置入体术后感染及外露的处理、特殊烧伤患者创面治疗、腹腔开放手术后的暂时性腹腔封闭等方面的临床疗效进行了文献总结;并对液体滴注法促进封闭负压技术治疗感染创面的效果、内窥镜辅助负压治疗技术应用于深部脏器吻合口术后并发症的治疗进行了文献回顾。

The new method of negative pressure wound therapy not only greatly improves the level of treatment on hard healing wounds in plastic surgery,but also widely used in the field of major surgery.The clinical efficacy of this technique in prevention of surgical incision complications,treatment of postoperative wound infection and fissure,treatment of postoperative infection and exposure of various implants,treatment of special burn wounds,and temporary closure of abdominal cavity after open abdominal surgery were reviewed.The impact of negative pressure wound therapy with instillation for infected wounds and the application of endoscope assisted negative pressure therapy in the treatment of complications after hollow viscera anastomosis were also reviewed.This review provides a new idea for the treatment of various refractory wounds and wound complications.