【摘要】 目的 探讨负压引流技术对不同部位、不同类型创面的方法和效果。 方法 回顾性分析2009年5月-2010年12月采用负压引流技术治疗85例创面的临床资料。其中男51例，女34例；年龄4~75岁，平均年龄48岁。 结果 79例创面行1次负压治疗后、6例创面连续行2次负压治疗后情况明显改善，二期行游离皮片移植术或皮瓣转移术修复创面，术后创面均Ⅰ期愈合，皮片或皮瓣存活良好。 结论 负压吸引治疗技术简便有效，可靠安全，能加速清除不同部位、不同类型创面的坏死组织，改善创面条件，缩短创面治疗时间。
【Abstract】 Objective To explore the effects of negative pressure treatment on wound of different types at different parts. Methods The clinical data of 85 patients (51 males and 34 females; 4-75 years old) with wound who received negative pressure treatment between May 2009 and December 2010 were retrospectively analyzed. Results After receiving negative pressure treatment for once in 79 patients and twice in 6, the wound improved obviously. All cases received regular methods such as skin grafting or tissue flap transferring to reconstruct the wound. All of the 85 patients healed by first intention and the skin grafts or flaps survived well. Conclusion Negative pressure treatment is a simple, effective, stable and safe method for wound treatment, which can accelerate eliminating necrotic tissue of wound of different types at different parts, improve the wound condition and shorten the period of therapy.
Citation：
CAO Chang,CHEN Zhixing,CEN Ying. Negative Pressure Treatment for Wound of Different Types at Different Parts. West China Medical Journal, 2011, 26(10): 1442-1444. doi:
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李靖, 陈绍宗, 许龙顺. 封闭负压引流技术对兔耳创面毛细血管及创面愈合的影响[J]. 中国临床康复, 2004, 8(5): 904-905.
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- 1. 裘华德, 王彦峰, 李汉民. 负压封闭引流技术[M]. 北京: 人民卫生出版社, 2003: 3-32.
- 2. Fleischmann W, Strecker W, Bombelli M, et al. Vacuum Sealing as Treatment of Soft Tissue Damage in Open Fractures[J]. Unfall chirurg, 1993, 96(3): 488-492.
- 3. Attar KH, Imran D, Iyer S. Vacuum-assisted closure (VAC) therapy in the management of digital pulp defects[J]. Acta Chir Plast, 2007, 49(3): 75-76.
- 4. Senchenkov A, Petty PM, Knoetgen J, et al. Outcomes of skin graft reconstructions with the use of Vacuum Assisted Closure (VAC(R)) dressing for irradiated extremity sarcoma defects[J]. World J Surg Oncol, 2007(5): 138.
- 5. Lindstedt S, Malmsj M, Ingemansson R. Blood flow changes in normal and ischemic myocardium during topically applied negative pressure[J]. Ann Thorac Surg, 2007, 84(2): 568-573.
- 6. Morykwas MJ, Simpson J, Punger K, et al. Vacuum-assisted closure: state of basic research and physiologic foundation[J]. Plast Reconstr Surg, 2006, 117(7): 121-126.
- 7. Penn E, Rayment S. Management of a dehisced abdominal wound with VAC therapy[J]. Br J Nurs, 2004, 13(4): 194-201.
- 8. 李靖, 陈绍宗, 许龙顺. 封闭负压引流技术对兔耳创面毛细血管及创面愈合的影响[J]. 中国临床康复, 2004, 8(5): 904-905.
