负压封闭引流联合扩创植皮修复术治疗烧伤感染难愈创面的效果

Evaluation of the effect of negative pressure sealing drainage combined with expanded wound skin grafting repair in the treatment of cases of burn infected with difficult to heal wounds

目的:观察负压封闭引流(VSD)联合扩创植皮修复术治疗烧伤感染难愈创面的效果。方法:选取2021年2月—2023年2月解放军联勤保障部队第九二四医院收治的65例烧伤感染难愈创面患者。采用随机数字表分为联合组(n=33)和常规组(n=32),联合组患者采取VSD联合扩创植皮修复术治疗;常规组患者采取扩创植皮修复术治疗,比较两组各项治疗指标。结果:联合组的治疗总有效率(96.97%)高于常规组(78.13%),差异有统计学意义(P<0.05);联合组的创面愈合时间[(18.12±2.36)d]短于常规组[(25.99±2.71)d],差异有统计学意义(P<0.05);联合组的并发症发生率(6.06%)低于常规组(25.00%),差异有统计学意义(P<0.05)。结论:VSD联合扩创植皮修复术是烧伤感染难愈创面的有效治疗方法,可提高治疗效果,加快创面康复,且治疗安全性较高。

Objective To analyze the effect of vacuum sealing drainage(VSD)combined with debridement and skin grafting in the treatment of patients with burn wounds that were difficult to heal due to infection.Methods A total of 65 patients with burn wounds difficult to heal due to infection who were admitted to Ninety-fourth Hospital of the Joint Logistics Force of the Chinese People's Liberation Army from February 2021 to February 2023 were selected.They were randomly divided into a combined group(n=33)and a conventional group(n=32),with patients in the combined group undergoing VSD combined with debridement and skin grafting,while patients in the conventional group underwent debridement and skin grafting.Various treatment indicators were compared between the two groups.Results The overall effective rate of treatment in the combined group(96.97%)was higher than that in the conventional group(78.13%),with a statistically significant difference(P<0.05).The healing time of the wounds in the combined group(18.12±2.36)d was shorter than that in the conventional group(25.99±2.71)d,with a statistically significant difference(P<0.05).The incidence of complications in the combined group(6.06%)was lower than that in the conventional group(25.00%),with a statistically significant difference(P<0.05).Conclusions VSD combined with debridement and skin grafting is an effective treatment method for burn wounds that are difficult to heal due to infection.It can improve the treatment effect,accelerate wound healing,and has a high level of safety in treatment.