中国组织工程研究Issue(16)：2607-2612,6.DOI:10.3969/j.issn.2095-4344.2014.16.024
高分子泡沫材料负压封闭引流修复足踝部皮肤软组织缺损
Vacuum sealing drainage based on wound surface dressing biomaterials for repairing soft tissue defects of the foot and ankle
姚辉 1卢华定 1徐义春 1赵慧清 1吕璐璐1
作者信息
- 1. 中山大学附属第三医院骨科，广东省广州市 510630
- 折叠
摘要
Abstract
BACKGROUND:Preliminary studies have showed that vacuum sealing drainage based on wound surface dressing biomaterials is a good method to cover the wound as succedaneous peau when the soft tissuedefects along with open fracture cannot be completely repaired during the first operation. OBJECTIVE:To explore the efficacy of vacuum sealing drainage based on wound surface dressing biomaterials in repair of soft tissue defects of foot and ankle. METHODS:Fourteen patients with soft tissue defects of foot and ankle were treated using free skin graft combined with vacuum sealing drainage technique. Meanwhile, the traditional skin graft after wound dressing changes was applied in another 11 patients. The clinical outcomes were compared between two groups. RESULTS AND CONCLUSION:The transplanted skin in 10 cases of the vacuum sealing drainage group survived. The total survival rate was 71%, and surgical dressing change was applied in the left four patients to finaly cover the wound. By comparison, the transplanted skin in four cases of the traditional group survived. The total survival rate was 54%. To finish the wound, three of the left patients were turned to surgical dressing change and two of them stil needed skin graft operation once more. The total survival rate between the two groups has no statistical significance(P > 0.05). The therapeutic procedure noted that the time waiting for the secondary surgical visit, times for dressing change before the second intervention and the time for final union between the two groups were statisticaly different (P < 0.05). So the vacuum sealing drainage based on wound surface dressing biomaterials may accelerate the repair of soft tissue defects of foot and ankle when using the free skin graft operation.关键词
生物材料/材料相容性/高分子泡沫材料/负压引流/足踝部软组织/缺损/游离植皮/创面修复Key words
biocompatible materials/drainage/soft tissue injuries/skin transplantation分类
医药卫生引用本文复制引用
姚辉,卢华定,徐义春,赵慧清,吕璐璐..高分子泡沫材料负压封闭引流修复足踝部皮肤软组织缺损[J].中国组织工程研究,2014,(16):2607-2612,6.
