常规VSD与改良VSD治疗手足外科难愈性伤口临床研究.docVIP

常规VSD与改良VSD治疗手足外科难愈性伤口临床研究 　　【摘要】 目的:观察常规封闭式负压引流技术(VSD)与改良VSD治疗手足外科难愈性伤口的临床疗效。方法:70例手足外科难愈性伤口患者随机分为治疗组和对照组各35例,治疗组采用改良VSD治疗,对照组采用常规VSD治疗,观察两组临床疗效和上皮化时间、愈合时间、引流液细菌培养阳性率、引流管堵塞率、创面愈合率差异。结果:治疗组总有效率91.18%,对照组总有效率71.43%,两组比较,差异有统计学意义(P0.05)。结论:改良VSD较常规VSD治疗手足外科难愈性伤口疗效确切,且能缓解VSD治疗期间存在的堵塞问题,值得临床推广应用。 　　【关键词】 常规VSD; 改良VSD; 手足外科; 难愈性伤口 　　Clinical Research of Conventional VSD and Improved VSD on Treating Refractory Wounds of the Foot Surgery/WEI Chang-nan, LUO Hong-bin, QIAN Ai-lian.//Medical Innovation of China,2012,9(33):051-053 　　【Abstract】 Objective: To study the clinical research of conventional Vacuum Sealing Drainage(VSD) and Improved VSD on treating refractory wounds of the hand and foot surgery. Method: 70 patients were randomly divided into treatment group(35 cases) and control group(35 cases). The treatment group was treated by improved VSD, while the control group was treated by conventional VSD. The efficacy and the difference of epithelialization time, healing time, wound healing rate, the fluid drainage bacterial culture positive rate, drainage tube blockage rate, and wound healing rate of the two groups were observed. Result: The total effective rate of the treatment group was 91.18%, the control group was 71.43%, the two groups in clinical curative effect had significant difference(P0.05). Conclusion: The improved VSD has obvious effect on refractory wounds of the hand and foot surgery, which can alleviate the problem of clogging of the VSD during treatment, and it’s worthy of clinic application. 　　【Key words】 Conventional VSD; Improved VSD; Hand and Foot surgery; Refractory wound 　　First-author’s address: Sanshui Hospital of Foshan Chinese Medicine Hospital, Foshan 528100, China 　　doi:10.3969/j.issn.1674-4985.2012.33.031 　　封闭式负压引流技术(Vacuum Sealing Drainage, VSD)是近年来发展起来的一种创面治疗新技术,最早主要运用于骨科领域治疗软组织缺损和感染性创面,目前已被广泛应用于急、慢性创面,是骨科和外科领域的???命[1]。手及足部皮肤缺损及糖尿病足等所致难愈性伤口或创面是手足外科面临的难题,有研究表明,VSD虽能有效治疗手足外科难愈性伤口或创面,但仍存在并发症,如难以应用外用药物、堵塞问题等。为有效解决VSD运用过程中存在的堵塞问题,笔者采用改良VSD(常规VS