生物骨科材料与临床研究2011，Vol.8Issue(4)：47-49,3.DOI:10.3969/j.issn.1672-5972.2011.04.015
负压封闭引流在肢体毁损伤保肢术的急诊应用
Emergency Application of Limb Salvage Treated with Vacuum Sealing Drainage in Traumatic Destructive Limb
石波 1王伯通 1叶楠 1王军 1杨衡 1王陶 1唐诗天 1康斌 1刘都 1张定伟 1陈利江1
作者信息
- 1. 四川省绵阳市中心医院骨科,四川,绵阳,621000
- 折叠
摘要
Abstract
Objective To evaluate the emergency therapeutic effect of traumatic destructive limb treated with vacuum sealing drainage (VSD). Methods A retrospective study was designed. From Mar 2007 to Dec 2010, 343 victims of open fractures hospitalized in Mianyang central hospital, 21 cases of traumatic destructive limb treated with vacuum sealing drainage were selected to enter this study, including 14 males and 7 females with an average age 31 years (range, 17～52), 16cases of accident injuries, 2 cases of earthquake victims, 3 cases of strangulation injury, 13 cases of upper limbs and 8 cases of lower limbs. 15 patients were type Ⅲb and 6 patients were Ⅲc by Guistilo classification, respectively. The mangled extremity severity score (MESS score) were as following : 9 cases of ＜ 6 points, 6 cases of 6～7 points, 6 cases of ＞ 7 points.In accordance with the principles of surgical debridement, repaired blood vessels, nerves, tendons, bone exposed in wound tissue coverage, be fixed to constructed physical stability of bone by external fixation, closed suction by VSD. Results 21 patients with VSD treatment form once to 5 times, 20 cases were successful of limb salvage, only 1 case with serious infection was amputated. Conclusion VSD could control infection, stimulated the growth of granulation tissue and provided good conditions for the second phase of wound repair. This treatment could be applied for limb salvage in traumatic destructive limb.关键词
封闭负压吸引/开放骨折/保肢术Key words
Vacuum sealing drainage/ Open fractures/ Limb salvage分类
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石波,王伯通,叶楠,王军,杨衡,王陶,唐诗天,康斌,刘都,张定伟,陈利江..负压封闭引流在肢体毁损伤保肢术的急诊应用[J].生物骨科材料与临床研究,2011,8(4):47-49,3.
