临床外科杂志 ›› 2020, Vol. 28 ›› Issue (6): 530-532.doi: 10.3969/j.issn.1005-6483.2020.06.009

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可调节负压引流技术在下肢静脉溃疡治疗中的应用

  

  1. 武汉大学人民医院整形外科
  • 出版日期:2020-06-20 发布日期:2020-06-20

Clinical application of adjustable negative pressure drainage in the treatment of lower extremity venous ulcer

  • Online:2020-06-20 Published:2020-06-20

摘要: 目的:探讨可调节负压引流技术治疗下肢静脉溃疡的临床效果。方法:下肢静脉溃疡病人31例,溃疡创面行外科清创后应用可调节负压引流技术进行治疗。结果:13例病人创面经过1~2个负压周期治疗后逐渐愈合,未行后期自体游离植皮术;18例病人创面经过1~3个负压周期治疗在肉芽组织覆盖创面后,行自体游离植皮覆盖创面,并在植皮术后持续负压引流1周,病人植皮区完全成活,愈合良好。结论:应用可调节负压引流技术治疗下肢静脉溃疡,能明显提高创面愈合速度、减少换药次数,病人所受痛苦小,且操作简单,疗效可靠。

关键词: 可调节, 负压引流, 下肢静脉溃疡

Abstract: Objective:To investigate the clinical effect of adjustable negative pressure drainage in the treatment of lower extremity venous ulcer.Methods:31 patients with lower extremity venous ulcer were treated with adjustable negative pressure drainage after surgical debridement.Results:The wounds of 13 patients healed gradually after 1~2 negative pressure cycles,without autologous free skin grafting in the later stage;18 patients were treated with autologous free skin grafting after 1~3 negative pressure cycles and covered with granulation tissue,and the skin grafting area survived completely after one week of continuous negative pressure drainage after skin grafting.The wound healed well.Conclusion:The application of adjustable negative pressure drainage technology in the treatment of venous ulcer of lower extremities can significantly improve the healing speed of wounds and reduce dressing change times.Less pain that the patients will suffer.The operation is simple and the curative effect is reliable.

Key words: adjustable, negative pressure drainage, lower extremity venous ulcer

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