中国组织工程研究

中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (25): 4745-4750.doi: 10.3969/j.issn.1673-8225.2012.25.036

• 生物材料临床实践 clinical practice of biomaterials • 上一篇    

高分子泡沫材料覆盖负压封闭引流用于四肢皮肤撕脱伤

谢志进1，方 跃2，王彦川1，石 磊1，余 强1，刘 勇1   

  1. 1成都市第七人民医院，成都市肿瘤医院骨科，四川省成都市610041；
    2四川大学华西医院骨科，四川省成都市 610041
  • 收稿日期:2011-12-24 修回日期:2012-02-29 出版日期:2012-06-17 发布日期:2013-11-04
  • 通讯作者: 方跃，四川大学华西医院骨科，四川省成都市 610041
  • 作者简介:谢志进★，男，1975年生，四川省三台县人，汉族，四川大学华西医学中心在读硕士，主治医师，主要从事骨科创伤方面的研究。 codman@ 163.com

Vacuum sealing drainage for skin avulsion of the limbs

Xie Zhi-jin1, Fang Yue2, Wang Yan-chuan1, Shi Lei1, Yu Qiang1, Liu Yong1   

  1. 1Department of Orthopedics, the Seventh People’s Hospital of Chengdu, Chengdu Cancer Hospital, Chengdu 610041, Sichuan Province, China;
    2Department of Orthopedics, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China
  • Received:2011-12-24 Revised:2012-02-29 Online:2012-06-17 Published:2013-11-04
  • Contact: Fang Yue, Department of Orthopedics, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China
  • About author:Xie Zhi-jin★, Studying for master’s degree, Attending physician, Department of Orthopedics, the Seventh People’s Hospital of Chengdu, Chengdu Cancer Hospital, Chengdu 610041, Sichuan Province, China codman@163.com

PDF

542

被引次数

11

摘要：

背景：高分子泡沫材料覆盖负压封闭引流技术现已广泛地应用于皮肤撕脱伤的临床治疗。
目的：探讨并归纳高分子泡沫材料覆盖负压封闭引流治疗四肢皮肤撕脱伤过程中的技术要点和细节处理方法。
方法：纳入22例四肢皮肤撕脱伤患者，行撕脱皮肤回植的高分子泡沫材料覆盖负压封闭引流治疗，然后归纳总结治疗过程中的要点、难点，并提出相应的技术处理办法。
结果与结论：21例有效病例创面均获得治愈，临床疗效满意，但仍有6例创面未能完全一期成活，这些实例为总结相关技术要点提供了良好的临床支持。通过总结可以认为皮片回植结合高分子泡沫材料覆盖负压封闭引流技术是治疗四肢皮肤撕脱伤的良好方法，更好的把握技术要点和细节处理方法有助于提高治愈率。

关键词: 负压封闭引流, 生物材料, 四肢, 皮肤, 撕脱伤, 治疗

Abstract:

BACKGROUND: Vacuum sealing drainage technique has been increasingly popular in clinical treatment of skin avulsion injuries.
OBJECTIVE: To investigate and generalize technical issues and details of the vacuum sealing drainage method in the treatment of limb skin avulsion.
METHODS: A total of 22 patients with limb skin avulsion were admitted and then treated with vacuum sealing drainage after skin replantation. Firstly, the main points and difficulties of the treatment process were retrospectively reviewed, and then the appropriate technical approach was proposed.
RESULTS AND CONCLUSION: Although 21 eligible patients received effective treatment and the clinical results were quite satisfactory, there were six cases of failure to complete primary healing. All of these cases provide us a good clinical support for the summary of the related technical points. To conclude, skin replantation combined with vacuum sealing drainage technique is a good way to deal with limb skin avulsion, and a better grasp of technical issues and details of the approach helps improve the cure rate.

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