组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2010, Vol. 6 ›› Issue (4): 208-210.doi: 10.3969/j.issn.1673-0364.2010.04.011

• 论著 • 上一篇    下一篇

负压封闭引流技术在骨筋膜室综合征中的应用

杜志军，穆世民，王新江，郭绍勇   

  1. GetLinkListEx(''洛阳正骨医院;
  • 发布日期:2020-07-23

Application of Vacuum Sealing Drainage in the Osteo-Fascial Compartment Syndrome

DU Zhijun,MU Shimin,WANG Xinjiang,GUO Shaoyong   

  1. Luoyang Orthopedic-Traumatological Hospital,Luoyang 471013,China.
  • Published:2020-07-23

摘要： 目的探讨负压封闭引流技术(Vacuum Sealing Drainage,VSD)在骨筋膜综合征中的应用及其临床效果。方法对11例骨筋膜室综合征患者的18处减张切口采用VSD材料一期覆盖,通过持续负压吸引以及更换VSD材料,使创面能直接拉拢缝合。减张切口位于前臂掌侧以及小腿内外侧,减张后创面面积为26cm×10cm～12cm×6cm。结果 18处创面均直接缝合,11处创面通过1次负压吸引后闭合,5处创面通过2次负压吸引后闭合,2处创面通过3次负压吸引后闭合,负压吸引时间为7～21d,平均13d。1例创面发生感染,经清创及更换VSD材料治疗后愈合。随访3～6个月,切口瘢痕柔软,无肌肉挛缩等并发症。结论负压封闭引流技术可以有效地闭合深筋膜减张切口,操作简便,创面愈合良好。

关键词: 负压封闭引流技术, 骨筋膜室综合征, 减张创面, 四肢, 治疗

Abstract: Objective To explore the clinical application of vacuum sealing drainage(VSD) in the patients of osteo-fascia compartment syndrome(OCS) with fasciectomy.Methods A total of 11 patients with OCS were treated by 18 fasciectomies with VSD.The area of wound was 26 cm × 10 cm-12 cm × 6 cm.Results Fasciectomy wounds of 18 patients were primarily closed and VSD without skin graft.Five cases were closed by one course of drainage,10 cases were closed by two courses of drainage,and the others were closed by three courses of drainage.The time of treatment ranged from 7 to 21 days,with 13 days in average.One case occurred infection but healed after debridement and dressing.After 3 to 6 follow-up,the wound were healed successful without any complications.Conclusion Fasciotomy wound can be closed successfully by vacuum sealing drainage.

Key words: GetLinkList(KeywordFilter(''Vacuum sealing drainage, Osteo-fascia1 compartment syndrome, Fasciectomy wound, Extremity, Treatment''),''kw'',''CJFQ'')

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