皮肤牵拉闭合器联合富氧可调节负压辅助疗法治疗难治性创面的疗效

Top Closure Tension-relief System with Regulated Oxygenenriched Negative Pressure-assisted Wound Therapy for the Treatment of Refractory Wounds

目的探讨Top Closure皮肤牵拉闭合器联合富氧可调节负压辅助疗法治疗难治性创面的临床疗效。方法选取2018年8月至2020年7月昆明医科大学第一附属医院胃肠与疝外科收治的不同部位难治性创面患者36例,回顾性分析Top Closure皮肤牵拉闭合器与富氧可调节负压辅助疗法的治疗效果。结果35例患者经Top Closure皮肤牵拉闭合器与富氧可调节负压辅助疗法治疗后,创面均愈合良好,无愈合不良或不愈合。1例患者因为术后严重的心肺功能衰竭死亡。结论Top Closure皮肤持续牵张技术联合富氧可调节负压辅助疗法相对简单,大大降低了手术难度,术后伤口愈合良好,可应用于治疗难治性创面。

Objective To investigate the clinical efficacy of Top Closure tension-relief system combined with regulated oxygen-enriched negative pressure-assisted wound therapy in the treatment of refractory wounds.Methods From August 2018 to July 2020,36 patients with refractory wounds at different sites were selected from the Department of Gastroenterology and hernia surgery,the First Affiliated Hospital of Kunming Medical University.We retrospectively analyzed the therapeutic effects of Top Closure tension-relief system combined with regulated oxygen-enriched negative pressure-assisted wound therapy.Results After 35 patients were treated with Top Closure skin traction occluder and oxygen-enriched adjustable negative pressure therapy,the wounds healed well and there was no malunion or nonunion.One patient died of severe cardiopulmonary failure after operation.Conclusion Top Closure tension-relief system combined with regulated oxygen-enriched negative pressureassisted wound therapy in the treatment of refractory wounds is relatively simple,it can greatly reduce the difficulty of operation,and make the wound heal well after operation,so it can be used to treat refractory wounds.