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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:

期数:

2020年12期

页码:

93-96

栏目:

出版日期:

2020-12-10

文章信息/Info

Title:

 Application of VSD in the Treatment of Chronic Refractory Wound after Open
Fracture Operation

文章编号:

1008-6455（2020）12-0093-04

作者:

 王悦奇¹; 陈 晗²

Author(s):

 WANG Yue-qi1; CHEN Han2

关键词:

 [关键词]负压封闭引流技术; 开放性骨折; 难愈性创面; 感染

Keywords:

 Key words: vacuum sealing drainag(VSD);  open fracture;  refractory wound;  infection

分类号:

R683

文献标志码:

A

摘要:

[摘要]目的：探讨负压封闭引流技术（Vacuum sealing drainage，VSD）在开放性骨折术后慢性难愈性创面的治疗效果。方
法：选取笔者医院2017年1月-2019年12月收治的80例开放性骨折术后并发慢性难愈性创面患者临床资料进行回顾性分析。
根据不同治疗方式分为对照组与治疗组（各40例），对照组给予常规换药处理，治疗组给予VSD治疗，评价并比较两组患
者治疗前后患者疼痛缓解情况及创面愈合情况。结果：术后随访6个月，治疗组临床总有效率明显高于对照组（85.0% vs
60.0%），差异有统计学意义（P ＜0.05）。治疗组创面愈合时间少于对照组，差异有统计学意义（P ＜0.05）。治疗前两组
VSS及VAS评分比较差异无统计学意义（P ＞0.05）；治疗后两组VSS及VAS评分均降低，且治疗组低于对照组，差异有统计学
意义（P ＜0.05）。两组治疗前白细胞、血沉及C反应蛋白比较差异无统计学意义（P ＞0.05）；治疗后3个月各炎症指标均明
显下降，且治疗组均明显低于对照组，差异有统计学意义（P ＜0.05）。6个月随访期间，两组创面感染、溃疡发生情况比较
差异无统计学意义（P＞0.05）；对照组出血、体温升高发生情况明显高于治疗组，差异有统计学意义（P ＜0.05）。结论：
在开放性骨折术后慢性难愈性创面治疗中，与传统换药相比，VSD技术可提高临床疗效，控制感染，加快伤口愈合，同时降
低治疗后并发症的发生，具有较高安全性。

Abstract:

Abstract: Objective To investigate the therapeutic effect of VSD (vacuum sealing drainage) on refractory wounds after
open fracture operation. Methods The clinical data of 80 patients with open fracture complicated with chronic infection and
refractory wound treated in our hospital from January 2017 to December 2019. According to different treatment methods, the
patients were divided into the control group and the treatment group (40 cases each group). The control group was treated with
routine dressing change. The treatment group was treated with VSD. The pain relief and wound healing were evaluated and
compared between the two groups before and after treatment. Results After 6 months of follow-up, the total effective rate of
the treatment group was significantly higher than that of the control group (85.0% vs 60.0%), the difference was statistically
significant(P ＜0.05). The wound healing time of the treatment group was less than that of the control group(P ＜0.05). There
was no significant difference in VSS and VAS scores between the two groups before treatment(P ＞0.05). After treatment, the
VSS and VAS scores of the two groups were decreased, and the treatment group was lower than the control group(P ＜0.05).
There was no significant difference in WBC, ESR and CRP between the two groups before treatment(P ＞0.05). After 3 months
of treatment, all inflammatory indexes were significantly decreased, and the treatment group was significantly lower than
the control group(P ＜0.05). During the 6-month follow-up, there was no significant difference in wound infection and ulcer
between the two groups(P ＞0.05). The incidence of bleeding and hyperthermia in the control group was significantly higher
than that in the treatment group(P ＜0.05). Conclusion Compared with routine dressing change, VSD technique can improve
clinical efficacy, infection control, wound healing, and reduce complications after treatment in the treatment of refractory
wounds with chronic infection after open fracture surgery.

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更新日期/Last Update: 2021-01-05