改良封闭负压引流技术治疗难愈性创面患者的临床疗效

Clinical Effect of Improved Vacuum Sealing Drainage Technology in the Treatment of Patients with Chronic Refractory Wound

目的研究改良封闭负压引流(VSD)技术治疗难愈性创面患者的临床疗效。方法68例难愈性创面患者,在彻底创面清创的基础上采用改良VSD技术治疗。观察68例患者的临床疗效。结果68例患者,创面93处,创面完全愈合46处,治愈率为49.46%,创面部分好转26处,创面未好转或加重21处(19例),其中创面治疗中因脏器衰竭死亡15例。结论改良VSD材料虽然采用普通材料制成,但亦能保证创面持续负压环境,达到了创面分泌物零聚集的要求,更重要的是材料费用下降明显。

Objective To study the clinical efficacy of improved vacuum sealing drainage(VSD)technology in the treatment of patients with chronic refractory wounds.Method Based on cleanning the wound completely,68 patients with chronic refractory wounds were treated by improved VSD technology.Result There were a total of 93 wounds in 68 patients,46 wounds were completely healed,the cure rate was 49.46%,26 wounds were partially improved,and 21 wounds were not improved or worsened(19 cases).Among them,15 died of organ failure during wound treatment.Conclusion Although the improved VSD materials is made of common materials,it can also ensure a continuous negative pressure environment on the wound surface and meet the requirements of zero accumulation of wound secretions.More importantly,the cost of materials has dropped significantly.