负压封闭引流技术与传统打包技术治疗四肢软组织损伤及后期植皮的临床疗效比较

目的:观察和比较负压引流技术(vacuum sealing drainage,VSD)与传统打包技术治疗四肢软组织损伤及后期植皮的临床疗效。方法:选择2010年1月-2013年1月在我院分别接受负压引流技术(实验组)及常规打包技术(对照组)治疗的随访资料完整的四肢软组织损伤患者共127例。记录和比较两组患者的手术时间、住院时间、创面愈合时间、换药次数和并发症的发生情况等。结果:实验组的手术时间、住院时间、创面愈合时间、平均手术次数和换药次数均明显短于或少于对照组(P0.05)。两组术后创面感染的发生情况比较无统计学差异,经再次清创后感染控制,行植皮手术后恢复良好。结论:与传统的打包技术比较,VSD技术用于治疗软组织损伤及后期植皮,可以更有效地缩短手术和住院时间及减少手术次数,是一种治疗四肢软组织损伤的安全有效的方法。

Comparison of the Clinical Efficacy of VSD and Traditional Packaging Technology on the Skin Deficiency and Skin Graft of Limbs Surgery

Objective:To compare the clinical efficacy of VSD and traditional packaging technology on skin deficiency and skin graft of the limbs surgery.Methods:127 cases treated in our hospital from January, 2010 to January, 2013 were evaluated under the groups of treatment group (VSD) and control group (traditional packaging technology). The duration of operation, hospital stay, healing time of wound surface, dressing frequency, and complications were compared between the two groups.Results:The duration of operation, hospital stay, healing time of wound surface, and dressing frequency of experimental group were all shorter or few than those of control group (P<0.05). No significant difference was found in the incidence of postoperative infection (P>0.05). After debridement again, skin grafts recovered well after the operation.Conclusion:Compared with the traditional packaging technology, the VSD technique could more effectively reduce the hospitalization time, operation time and operation frequency, which was a safe and effective method in the treatment of skin and soft tissue injury.