VSD修复肢体严重创伤后大面积软组织缺损感染的疗效观察.pdfVIP

临床军医杂志 2015年9月第43卷第9期 ClinJMedOffic,Vol．43,No．9,Sep.,2015 ·921· ·论 著 · VSD修复肢体严重创伤后大面积软组织缺损感染 的疗效观察 李 杰, 庄颜峰, 王金水 南京军区福州总医院骨二科,福建福州350025 [摘要] 目的 探讨封闭负压引流技术(VSD)修复肢体严重创伤后大面积软组织缺损感染的疗效 方法 将我院收治的 25例严重创伤引起大面积软组织缺损感染患者,根据手术方式不同分为对照组(12例)和治疗组(13例);治疗组采用VSD 技术结合游离皮瓣修复大面积软组织缺损,对照组单纯采用游离皮瓣修复 结果 治疗组术前住院时间 总住院时间均显著 低于对照组,且差异有统计学意义(P0.05);两组术后住院时间差异无统计学意义(P 0.05);治疗组患者切取皮瓣面积 创面感染 骨折愈合时间均显著低于对照组,差异有统计学意义(P0.05) 结论 VSD技术结合游离皮瓣修复治疗严重创 伤后大面积软组织缺损感染,可显著缩短治疗时间,降低创面感染的发生,加快骨折愈合 [关键词] 封闭负压引流技术; 创伤; 软组织缺损; 感染; 游离皮瓣 中图分类号:R274 3 文献标志码:A do:0 6680/j 67 -3826 205 09 3 文章编号:67 -3826(205)09-092 -03 CurativeeffectofVSDrepairforthetreatmentoflargeareasofttissuedefectswithinfectionafterlimbtrauma LIJie,ZHUANGYanfeng,WANGJinshui(TheSecondDepartmentofOrthopaedics,FuzhouGeneralHospitalofNanjingMilitary Command,Fuzhou350025,China) Abstract:Objective Toinvestigatethecurativeeffectoflargeareasofttissuedefectafterseveretraumaoflimbswithinfectiontrea tedbyvacuumsealingdrainage(VSD)technique.Methods Totally25patientswithlargeareasofttissuedefectscausedbysevere traumawereselectedinthisstudy.Accordingtothedifferentoperationmode,patientswasdividedintothetreatmentgroup(13cases) andthecontrolgroup(12cases);patientsinthetreatmentgroupusedVSDtechnologycombinedwithfreeflaptorepairlargeareasoft tissuedefects,whilepatientsinthecontrolgroupweretreatedwithfreeskinflapsimply.Results Thepreoperativehospitalization timeandhospitalizationtimeoftreatmentgroupweresignificantlylowerthanthoseofcontrolgroup,andthedifferencewasstatistically significant(P0.05).Thetreatmenttimehadnosignificantdifferencebetweenthetwogroups(P 0.05).Theguttedflaparea, woundinfection,fracturehealingtimeoftreatmentgroupwassignificantlylowerthanthoseofthecontrolgroup,andthedifferencewas statisticallysignificant(P0.05).Conclusi