Application of the Vacuum-assisted Closure Therapy on Pressure Dressing in Free Transplant Operation for Free Split-Thickness Skin Graft on Anterior Thoracic Wall, Abdominal Wall and Back_West China Medical Journal

Authors：

WANG Lifu , CHEN Moxuan ,  SU Xin , ZHANG Hongwei , HOU Zuoqiong

Department of Plastic and Burns Surgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210029, P. R. China;

Corresponding author：

SU Xin, Email: wanglifu_md@163.com

Keywords：

负压辅助愈合治疗系统; 断层皮片; 移植

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的　探讨应用负压辅助愈合治疗系统（V.A.C. Therapy）在胸、腹、背部断层皮片游离移植术后加压固定的有效性。方法　2010年10月－2011年10月，应用V.A.C. Therapy加压固定游离断层皮片修复21例胸、腹、背部皮肤软组织缺损患者。男15例，女6例；年龄21～63岁，平均43岁。其中瘢痕切除后创面13例，皮瓣切取后供瓣区形成的创面8例。创面位于胸部7例，腹部9例，背部5例。皮肤及软组织缺损范围12 cm×10 cm～18 cm×15 cm。游离移植的断层皮片厚度为0.6 mm，在缺损部位移植断层皮片后，使用V.A.C. Therapy固定皮片，压力范围100～125 mm Hg （1 mm Hg=0.133 kPa）。结果　住院时间19～32 d，平均24 d。21例植皮均成活，受区创面Ⅰ期愈合；供皮区创面Ⅰ期愈合。随访时间6～12个月，平均8个月。游离移植皮肤色泽与周围皮肤色泽相似，无破溃，无明显凹陷。结论　应用V.A.C. Therapy加压固定的游离断层皮片，成活率高，效果可靠，是一种安全实用的固定方法。

Citation： WANG Lifu,CHEN Moxuan,SU Xin,ZHANG Hongwei,HOU Zuoqiong. Application of the Vacuum-assisted Closure Therapy on Pressure Dressing in Free Transplant Operation for Free Split-Thickness Skin Graft on Anterior Thoracic Wall, Abdominal Wall and Back. West China Medical Journal, 2012, 27(8): 1174-1177. doi: Copy

1.	岑瑛. 与时俱进不断创新, 提高我省创面治疗的医疗水平[J]. 华西医学, 2011, 26(10): 1441.
2.	罗江蓉, 刘勇, 岑瑛.负压封闭引流装置用于全厚皮移植术后加压固定[J]. 华西医学, 2011, 26(10): 1445-1448.
3.	李晨阳, 马兵.负压引流技术在临床应用中的研究进展[J].华西医学, 2011, 26(10): 1461-1465.
4.	李永忠, 李云飞, 胡晓东, 等.可调节负压引流技术结合植皮治疗皮肤缺损伴感染创面[J]. 华西医学, 2011, 26(10): 1466-1467.
5.	吴风富, 程昌志, 何少康, 等.腹部皮瓣和植皮联合负压封闭引流修复手部大面积皮肤脱套伤及缺损[J].华西医学, 2011, 26(8): 1162-1164.
6.	曹畅, 陈志兴, 岑瑛.负压引流技术在不同部位和不同类型创面的疗效观察[J].华西医学, 2011, 26(10): 1442-1444.
7.	黎晓华, 王惠东, 张长青, 等. 封闭式负压引流技术联合皮瓣修复下肢皮肤软组织缺损 [J].中国修复重建外科杂志, 2010, 24(6): 722-725.
8.	张建超, 沈国良, 赵小瑜, 等.中厚皮片和真皮下血管网皮瓣联合封闭式负压引流技术修复四肢大面积皮肤撕脱伤[J].中国修复重建外科杂志, 2010, 24(3): 374-375.
9.	段军, 张远金.封闭式负压引流技术应用于植皮术的临床疗效[J].中国修复重建外科杂志, 2011, 25(2): 251-252.
10.	徐栋梁, 朱琦, 何沛恒, 等. 封闭式负压引流术治疗人工关节置换术后深部感染[J].中国修复重建外科杂志, 2011, 25(11): 1319-1322.
11.	Younan G, Ogawa R, Ramirez M, et al. Analysis of nerve and neuropeptide patterns in vacuum-assisted closure-treated diabetic murine wound [J]. Plast Reconstr Surg, 2010, 126(1): 87-96.
12.	王炜.整形外科学[M].杭州：浙江科学技术出版社, 1999: 76-99.
13.	Borgquist, Ingemansson R, Malmsjö M, et al. Wound edge microvascular blood flow during negative-pressure wound therapy: examining the effects of pressure from -10 to -175 mmHg[J]. Plast Reconstr Surg, 2010, 125(2): 502-509.
14.	Franczyk M, Lohman RF, Aqarwal JP, et al. The impact of topical lidocaine on pain level assessment during and after vacuum-assisted closure dressing changes: a double-blind, prospective, randomized study [J]. Plast Reconstr Surg, 2009, 124(3): 854-861.
15.	Saaiq M, Hameed-Ud-Din, Khan MI, et al. Vacuum-assisted closure therapy as a pretreatment for split thickness skin graft[J]. J Coll Physicians Surg Pak, 2010, 20(10): 675-679.

1. 　岑瑛. 与时俱进不断创新, 提高我省创面治疗的医疗水平[J]. 华西医学, 2011, 26(10): 1441.
2. 　罗江蓉, 刘勇, 岑瑛.负压封闭引流装置用于全厚皮移植术后加压固定[J]. 华西医学, 2011, 26(10): 1445-1448.
3. 　李晨阳, 马兵.负压引流技术在临床应用中的研究进展[J].华西医学, 2011, 26(10): 1461-1465.
4. 　李永忠, 李云飞, 胡晓东, 等.可调节负压引流技术结合植皮治疗皮肤缺损伴感染创面[J]. 华西医学, 2011, 26(10): 1466-1467.
5. 　吴风富, 程昌志, 何少康, 等.腹部皮瓣和植皮联合负压封闭引流修复手部大面积皮肤脱套伤及缺损[J].华西医学, 2011, 26(8): 1162-1164.
6. 　曹畅, 陈志兴, 岑瑛.负压引流技术在不同部位和不同类型创面的疗效观察[J].华西医学, 2011, 26(10): 1442-1444.
7. 　黎晓华, 王惠东, 张长青, 等. 封闭式负压引流技术联合皮瓣修复下肢皮肤软组织缺损 [J].中国修复重建外科杂志, 2010, 24(6): 722-725.
8. 　张建超, 沈国良, 赵小瑜, 等.中厚皮片和真皮下血管网皮瓣联合封闭式负压引流技术修复四肢大面积皮肤撕脱伤[J].中国修复重建外科杂志, 2010, 24(3): 374-375.
9. 　段军, 张远金.封闭式负压引流技术应用于植皮术的临床疗效[J].中国修复重建外科杂志, 2011, 25(2): 251-252.
10. 　徐栋梁, 朱琦, 何沛恒, 等. 封闭式负压引流术治疗人工关节置换术后深部感染[J].中国修复重建外科杂志, 2011, 25(11): 1319-1322.
11. 　Younan G, Ogawa R, Ramirez M, et al. Analysis of nerve and neuropeptide patterns in vacuum-assisted closure-treated diabetic murine wound [J]. Plast Reconstr Surg, 2010, 126(1): 87-96.
12. 　王炜.整形外科学[M].杭州：浙江科学技术出版社, 1999: 76-99.
13. 　Borgquist, Ingemansson R, Malmsjö M, et al. Wound edge microvascular blood flow during negative-pressure wound therapy: examining the effects of pressure from -10 to -175 mmHg[J]. Plast Reconstr Surg, 2010, 125(2): 502-509.
14. 　Franczyk M, Lohman RF, Aqarwal JP, et al. The impact of topical lidocaine on pain level assessment during and after vacuum-assisted closure dressing changes: a double-blind, prospective, randomized study [J]. Plast Reconstr Surg, 2009, 124(3): 854-861.
15. 　Saaiq M, Hameed-Ud-Din, Khan MI, et al. Vacuum-assisted closure therapy as a pretreatment for split thickness skin graft[J]. J Coll Physicians Surg Pak, 2010, 20(10): 675-679.

West China Medical Journal

Application of the Vacuum-assisted Closure Therapy on Pressure Dressing in Free Transplant Operation for Free Split-Thickness Skin Graft on Anterior Thoracic Wall, Abdominal Wall and Back

Abstract Full text Figures/Tables Video References Cited by

Format

Content