《2014预防医学会年会会议》课件-董征学--封闭式负压引流技术治疗复杂难治性创面.docVIP

负压封闭引流技术辅助治疗复杂创面 董征学1, 2 姜笃银1 金晓明2 张天杰2 温立升3 石坤2 白如银2 1. 山东大学第二医院烧伤整形科和急诊科，山东大学组织工程研究所，山东济南 250033；2. 中国人民解放军第148中心医院烧伤整形科，山东淄博，255300； 3. 中国人民解放军第148中心医院骨科，山东淄博，255300 通信作者：姜笃银，主任医师，博士生导师；电话E-mail: HYPERLINK mailto:jdybs2@ jdybs2@ 基金资助项目：国家自然科学基金面上项目81372074），山东省科技攻关项目（2009G 【摘要】目的：探讨负压封闭引流技术（vacuum sealing drainage technique, VSD）在复杂创面修复过程中的有效性和实用性。方法：首先行负压封闭引流技术准备创面，然后通过植皮或者皮瓣移植手术封闭创面，术后根据情况使用负压封闭引流技术，以促进创面愈合或处理并发症。结果：创面准备阶段使用负压封闭引流后，创面明显缩小，炎症或感染得到理想控制，创面基底肉芽生长迅速；术后使用VSD，能够促进移植皮肤、皮瓣成活，减少术后并发症。结论：负压封闭引流技术结合手术，能够有效治疗复杂创面。 【关键词】负压封闭引流技术；难治性创面；慢性创面；创面修复 The Therapy of Refractory Wounds with Vacuum Sealing Drainage Technique DONG Zhengxue1, 2 JIANG Duyin1 JIN Xiaoing2 ZHANG Tianjie2 WEN Lishen3 SHI Kun2 BAI Ruyin2 (1. Department of Burns and Plastic Surgery, The Second Hospital of Shandong University, Jinan, Shandong, 250033. 2. Department of Burns and Plastic Surgery, the 148th Hospital of Chinese People’s Liberation Army, Zibo, Shandong, 255300. 3. Department of orthopaedics, the 148th Hospital of Chinese People’s Liberation Army, Zibo, Shandong, 255300. Correspondence to: Dr. JIANG Duyin, E-mail: jdybs2@) Abstract: Objective: To investigate the effectiveness and practicality of the therapy of refractory wounds with vacuum sealing drainage technique (VSD). Methods: First, VSD is applied to prepare of wounds and then skin or flap transplantation is used to repair the wounds. At the same time or later, VSD is used to improve the HYPERLINK /survival_ratio survival of wounds or to treat operation complications. Results: The wounds were repaired satisfactorily after VSD technique combined operation was replied. In the stage of wound preparation, the bed of wound is narrowed, its inflammation or infection controlled, and granulation tissue refreshed. After operation, VSD can improve the HYPERLINK /survival_ratio survival ratio of skin or flap transplantation, and reduce their complications. Conclusions: VSD combined with skin or f