中国组织工程研究Issue(47)：8282-8287,6.DOI:10.3969/j.issn.2095-4344.2013.47.022
聚乙烯乙醇水化海藻盐封闭式负压引流修复骨外科创面
Polyethylene ethanol hydration seaweed salt for vacuum sealing drainage in repair of orthopedic wounds
李陵江 1常恒 1常晶晶 1陈传江 1袁龙 1王继荣 1张江红 2潘永亮 2刘又会2
作者信息
- 1. 解放军第273医院骨、创伤、显微外科，新疆维吾尔自治区库尔勒市 841000
- 2. 解放军第273医院药械科，新疆维吾尔自治区库尔勒市 841000
- 折叠
摘要
Abstract
BACKGROUND:In recent years, vacuum sealing drainage technology has been widely used in the treatment of orthopedic wounds or to facilitate skin graft survival, both of which have achieved good results. <br> OBJECTIVE:To observe the curative effects of vacuum sealing drainage technology in the wound healing after limb open fractures, soft tissue defects, pressure sores, and chronic osteomyelitis. <br> METHODS:Fifty-four patients of fractures combined with soft tissue defects, postoperative exposed bone, osteomyelitis, a large area of pressure ulcers or severe infections, selected from the 273rd Hospital of PLA, were randomly divided into test and control groups according to the wishes of patients. The test group included 36 patients who were treated with vacuum sealing drainage using polyethylene ethanol hydration seaweed salt after debridement, and the control group included 18 patients who were treated with conventional dressing. Wound cleaning time, number of dressings, and wound healing time were detected and compared in the two groups. <br> RESULTS AND CONCLUSION:Compared with the control group, the wound cleaning time and wound healing time were shorter in the test group, and the number of dressings was also decreased in the test group (P<0.05). After removal of sponge dressings, in the test group, wound granulation was fresh and grew obviously with no exudates after the necrotic residue was removed and vacuum sealing drainage was changed. For the bone exposure patients, the wound area was reduced, or even there was no exposed bone any more. After skin grafting, vacuum suction and pressure due to vacuum sealing drainage technology made al skin grafts survive. In the patients with chronic osteomyelitis, the exudates were gradual y reduced until disappeared after vacuum sealing drainage was exchanged three or four times, and pathogens were not found in bacterial culture. After combined treatment of debridement and vacuum sealing drainage, there were many fresh granulations in the patients with large areas of pressure sores;after replacement of vacuum sealing drainage several times, the granulation grew to the same height with the surrounding skin.关键词
生物材料/生物材料临床实践/负压引流/软组织/缺损/游离植皮/创面修复分类
医药卫生引用本文复制引用
李陵江,常恒,常晶晶,陈传江,袁龙,王继荣,张江红,潘永亮,刘又会..聚乙烯乙醇水化海藻盐封闭式负压引流修复骨外科创面[J].中国组织工程研究,2013,(47):8282-8287,6.
