[1]彭 靓,汪 虹,朱洪申.负压创面治疗技术应用于慢性难愈合创面的疗效分析[J].医学信息,2018,31(11):176-179.[doi:10.3969/j.issn.1006-1959.2018.11.059]
 PENG Liang,WANG Hong,ZHU Hong-shen.Therapeutic Effect of Negative Pressure Wound Therapy on Chronic Difficult Wound Healing[J].Journal of Medical Information,2018,31(11):176-179.[doi:10.3969/j.issn.1006-1959.2018.11.059]
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负压创面治疗技术应用于慢性难愈合创面的疗效分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年11期
页码:
176-179
栏目:
出版日期:
2018-06-01

文章信息/Info

Title:
Therapeutic Effect of Negative Pressure Wound Therapy on Chronic Difficult Wound Healing
文章编号:
1006-1959(2018)11-0176-04
作者:
彭 靓1汪 虹1朱洪申2
1. 昆明医科大学第二附属医院烧伤科,云南 昆明 650101; 2.昆明医科大学第一附属医院,云南 昆明 650101
Author(s):
PENG Liang1WANG Hong1ZHU Hong-shen2
1.Department of Burns,Second Affiliated Hospital of Kunming Medical University,Kunming 650101,Yunnan,China; 2.The First Affiliated Hospital of Kunming Medical University,Kunming 650101,Yunnan,China
关键词:
负压创面治疗技术慢性难愈合创面压疮坏死性筋膜炎糖尿病溃疡
Keywords:
Key words:Negative pressure wound therapyChronic difficult wound healingPressure ulcersNecrotizing fasciitisDiabetic ulcers
分类号:
R622+.9
DOI:
10.3969/j.issn.1006-1959.2018.11.059
文献标志码:
B
摘要:
目的 总结负压创面治疗技术(NPWT)在慢性难愈合创面的临床应用经验。方法 分析昆明医科大学第二附属医院烧伤科2015年9月~2016年11月收治的35例压疮、糖尿病溃疡、坏死性筋膜炎等慢性难愈合创面患者的临床资料。总结患者采用NPWT治疗过程中碰到的问题和解决的措施,每次使用后创面的变化,愈合情况,总住院天数。结果 35例患者通过2~8次NPWT治疗,创面肉芽组织新鲜行植皮或皮瓣转移修复,创面完全愈合,治疗期间均未出现明显并发症。结论 NPWT在慢性难愈合创面治疗中至关重要,通过NPWT准备创面床后常常可以采用简单方法进行修复。
Abstract:
Abstract:Objective To summarize the clinical application experiences of negative pressure wound therapy(NPWT)in chronic difficult wounds.Methods To analyze the clinical data of 35 patients with chronic ulcers such as pressure sores,diabetic ulcers,and necrotizing fasciitis who were admitted to the Second Affiliated Hospital of Kunming Medical University from September 2015 to November 2016. Summarize the problems encountered during the treatment of patients with NPWT and the measures taken to address them,changes in wounds after each use,healing,and the total length of hospital stay.Results 35 cases of patients were treated with 2~8 times NPWT. The wound granulation tissue was repaired with skin grafting or skin flap transfer,and the wound healing was completely healed.No obvious complications were found during the treatment.Conclusion NPWT is very important in the treatment of chronic refractory wounds.NPWT can often be repaired by simple methods after preparing the wound bed.

参考文献/References:

[1]Tansarli G S,Vardakas K Z,Straroulia C.Vacuum-assisted closure versus closure without vaccum assistance for preventing surgical site infection and infections of chronic wounds:a meta-analysis of randomized controlled trials[J].Surg Infect(Larchmt),2014,15(4):363-367. [2]舒巍,周忠志,熊武,等.负压封闭引流在下肢慢性难愈性皮肤溃疡修复中的应用[J].中国美容医学,2014,23(24):2038-2042. [3]李兰.负压创面治疗技术在糖尿病溃疡中的应用及护理分析[J].糖尿病足,2017,11(169):73-74. [4]Vikatmaa P,Juutilaimen V,Kuukasjarvi P,et al.Negative pressur wound therapy:a systematic review on effectiveness and safety[J].European J of Vascular and Endovascular Surgery,2008,36(4):438-448. [5]Condé-Green A,Chung T L,Holton Ⅲ L H,et al.Incisional negative-pressure wound therepy versus conventional dressings following abdominal wall reconstruction:a conparative study[J].Annals of Plastic Surgery,2013,71(4):394-397. [6]许永先,邹旭,章玲,等.VSD处理配合带肌腱足背皮瓣修复手部皮肤和肌腱缺损[J].中华显微外科杂志,2014,37(4):394-396. [7]刘霄龙.负压封闭引流技术在下肢严重创伤后软组织缺损感染中的疗效[J].黑龙江医药科学,2017,40(4):97-98. [8]Labler L,Rancan M,Mica L,et al.Vacuum-assisted closure therapy increase local interleukin-8 and vascular eduothlial growth factor levels in traumatic wounds[J].J Trauma,2009,66(3):749-757. [9]Tanaka T,Panthee N,Itoda Y,et al.Negative pressure wound therapy induces early wound healing by increased and accelerated expression of vascular endothelial growth factor receptors[J].European Journal of Plastic Surgery,2016(39):1-10. [10]申传安,郝岱峰.烧创伤负压治疗[M].北京:人民卫生出版社,2016:21-52. [11]Srivastava R N,Dwivedi M K,Bhagat A K,et al.A non-randomised,controlled clinical trial of an innovative device for negative pressure wound therapy of pressure ulcers in tamatic paraplegia patients[J].International Wound J,2014.DOI:10.1111iwj.12309. [12]蔡建华,申传安,庹晓晔,等.负压封闭引流技术在烧伤患儿颈部及躯干创面植皮术中的应用[J].中华烧伤杂志,2017,33(1):43-45. [13]Wachenfoe A,Sjtgren J,Gustafsson R,et al.Effects of vacuum-assisted closure therapy on inguins wound edge microvascular blw[J].Wound Regen,2001,12(6):600-606. [14]Langer v,Bhandari PS,Rajagopalan S,et al.Negative pressure wound therapy as an adjunct in healing of chronic wounds[J].International Wound J,2013(10):12132. [15]张玉辉,厚兆军.多切口减压加VSD持续负压吸引治疗急性坏死性筋膜炎的临床技术[J].世界最新医学信息文摘(电子期刊),2015(58):72. [16]李陵江,常恒,常晶晶,等.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,2013,17(47):8282-8287. [17]金玲.用透明贴治疗静脉留置针所致静脉炎的效果观察[J].求医问药,2013,11(6):280-281. [18]Hutchison R L,Graw J R.Use of acellular dermal rengeneration template combined with NPWT to treat complicated extremity wounds in children[J].J of Wound Care,2013,22(12):708-712.

更新日期/Last Update: 2018-06-01