改良负压封闭引流术在游离皮瓣修复术后供区植皮中的应用

Application of modified vacuum sealing drainage in reconstruction of free flap donor-site defects with full-thickness skin graft

目的 :探讨改良负压封闭引流术(vacuum sealing drainage,VSD)在口腔癌患者游离皮瓣修复术后供区植皮中的应用效果。方法:选择50例口腔癌游离皮瓣修复患者,其中30例采用改良VSD法进行供区植皮后处理,20例患者进行常规加压包扎法处理。采用SPSS 22.0软件包对数据进行统计学分析。结果:改良VSD组植皮术后愈合时间较加压包扎组明显缩短,供区愈合时间、并发症发生率较加压包扎组显著降低(P<0.05)。结论:改良VSD在口腔癌游离皮瓣修复术后供区植皮效果良好,性价比高,值得在临床上应用推广。

PURPOSE:To investigate the application value of modified vacuum sealing drainage(VSD)in free flap donor-site defects with full-thickness skin graft in patients with oral cancer.METHODS:Thirty patients with oral cancer underwent free flap reconstruction and treated with modified VSD after full-thickness skin graft,while 20 cases were treated with conventional pressure-packing.SPSS 20.0 software package was used for statistical analysis of the data.RESULTS:The healing time after skin graft of the modified VSD group was significantly shorter than the traditional packing group,and the incidence of infection,edema and wound edge spliting in the modified VSD group was significantly reduced(P<0.05).CONCLUSIONS:Modified VSD has a good effect in the donor area with free skin flap transplantation after oral cancer ablation.It is cost-effective and worthy of clinical application and promotion.