Treatment of large avulsion injury of skin of lower limbs by reattachment of skin combined with vacuum sealing drainage

Huang Si-gui; et al

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Treatment of large avulsion injury of skin of lower limbs by reattachment of skin combined with vacuum sealing drainage

更新时间：2024-01-17

- Treatment of large avulsion injury of skin of lower limbs by reattachment of skin combined with vacuum sealing drainage
- Journal of Chongqing Medical University Vol. 34, Issue 1, Pages: 122-124(2009)
- 作者机构：
  
  四川省内江市第二人民医院烧伤整形科
- 作者简介：
- 基金信息：
- DOI：
  CLC： R658.3
- Published：2009，
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[1]黄思贵,刘春,钟吉华.负压封闭技术在下肢大面积皮肤撕脱伤的治疗探析[J].重庆医科大学学报,2009,34(01):122-124.

Huang Si-gui, et al. Treatment of large avulsion injury of skin of lower limbs by reattachment of skin combined with vacuum sealing drainage. [J]. Journal of Chongqing Medical University 34(1):122-124(2009)
[1]黄思贵,刘春,钟吉华.负压封闭技术在下肢大面积皮肤撕脱伤的治疗探析[J].重庆医科大学学报,2009,34(01):122-124. DOI：

Huang Si-gui, et al. Treatment of large avulsion injury of skin of lower limbs by reattachment of skin combined with vacuum sealing drainage. [J]. Journal of Chongqing Medical University 34(1):122-124(2009) DOI：

摘要

目的:探讨负压封闭引流技术（Vacaum staling drainage

VSD）治疗下肢大面积皮肤撕脱伤的临床效果。方法:对近3年来我院收治的下肢大面积皮肤撕脱伤患者44例采用筛孔状全厚皮片移植法修复

皮片表面用多聚乙烯醇明胶海绵材料（商品名"维克伤"）覆盖封闭

24h不间断负压吸引（维持负压在-40～-60kPa之间）。结果:平均使用VSD7d

39例皮片全部存活创面愈合

5例皮片存活95%～98%

经换药后

创面愈合

患肢运动功能及外观恢复良好。与对照组比较

在平均住院天数、植皮的愈合率、换药次数及总费用等方面差异均有统计学意义（P<0.05）。结论:筛孔状全厚皮片移植法原位修复结合VSD处理下肢皮肤撕脱创面能在Ⅰ期关闭创面的同时更好地进行创面引流

降低感染地发生

促进创面地良好贴附

有利于皮片存活

是治疗下肢皮肤撕脱伤较好地处理方法。

Abstract

Objective:To investigat the treatment effects of reattachment of skin combined with vacuum sealing drainage(VSD)on large avulsion injury of skin of lower limb.Metbods:44 cases of treated by reattachment of with sieve-pore full-thickness skingrafts

the wound surface was filled with polyvinyl alcohol foams(vacuscal)continuous negative pressure drainage was taken for 24h.Result:The average tim of VSD was 7 days.39 cases recovered completely.The flap survival rate in 5 cases was reattaching sieve-pore full-thickness skin grafts combined with VSD

which is a crediable treatment of limbs skin-tear wound。Conclusion:The large avulsion injury of skin of lower limbs could be closed by reattaching sieve-pore full-thickness skin grafts combined with VSD

which is a crediable treatment of limbs skin-ter wond.

关键词

负压封闭引流技术原位植皮术下肢皮肤撕脱伤

Keywords

Vacuum scaling drainage(VSD)Skin graftingAvulsion injury of skin of lower limbs

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