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find Keyword "负压封闭引流" 11 results
  • 负压封闭引流术治疗骨筋膜室综合征与常规切开筋膜治疗的比较研究

    目的 总结采用负压封闭引流(VSD)术治疗骨筋膜室综合征的优点。 方法 回顾性分析88例外伤后致骨筋膜室综合征患者临床资料,其中2005年2月-2008年11月40例采用常规筋膜切开减压术,2009年5月-2012年4月48例采用VSD术,比较两组患者治疗及护理过程。 结果 VSD组创面愈合率(95.8%)高于常规手术组(67.5%),差异有统计学意义(χ2=12.387,P=0.000);VSD组、常规手术组平均住院天数分别为(16 ± 5)、(22 ± 4)d,差异有统计学意义(t=6.128,P=0.000);VSD组、常规手术组患者平均花费的医疗费用分别为(5 100 ± 1 200)、(2 100 ± 1 000)元,差异有统计学意义(t=−12.580,P=0.000);VSD组患者满意率(97.9%)高于常规手术组(75.0%),差异有统计学意义(χ2=10.476,P=0.000)。 结论 VSD术的应用令创面愈合时间进一步缩短,大幅度提高了患者的满意度。

    Release date:2016-09-07 02:34 Export PDF Favorites Scan
  • Reparation of Large-area Hand Avulsed Wound and Soft Tissue Defects with Abdominal Skin Flaps and Skin Grafting Combined with Vacuum Sealing Drainage Technique

    【摘要】 目的 探讨大面积手部皮肤脱套伤并缺损的修复方式。 方法 2005年6月-2010年1月,应用腹部皮瓣包埋和游离中厚皮片植皮结合负压封闭引流(vacuum sealing drainage,VSD)技术治疗手部大面积皮肤脱套伤合并缺损12例,其中男8例,女4例;年龄21~56岁,平均34岁。机器绞伤9例,车祸伤3例。所有损伤均合并肌腱、关节或骨质外露;软组织缺损范围为9 cm×8 cm~25 cm×18 cm。受伤至手术时间4~17 h,平均6.5 h。手掌及手指缺损部位采用腹部带蒂皮瓣包埋;手掌及手指以外肌肉、筋膜完好的部位采用大腿游离中厚皮片植皮,再于植皮表面覆盖VSD敷料,接负压行持续吸引;所有患者均二期断蒂并进行分指或皮瓣成形手术。 结果 术后2例手指部分皮瓣或植皮坏死,2例小部分皮瓣及植皮边缘坏死,经单纯换药后逐渐愈合,1例缺损较大、较深,先行换药,待创面肉芽新鲜后行二期植皮手术,愈合良好 。其余皮瓣及植皮均成活,创面Ⅰ期愈合;供区植皮均成活,切口均Ⅰ期愈合。12例均获6~42个月随访,2例手指末节软组织缺损严重、血运差,术后7~10 d末节坏死后短缩;3例掌侧皮瓣移植后较臃肿;其余外观均较满意。所有患者创面愈合后1个月内深、浅感觉功能均稍差,3~6个月逐渐恢复,但手指精细感觉恢复差,两点辨别觉为6~13 mm,平均9.5 mm。所有患手平均掌指关节主动活动50°,指间关节20°。 结论 腹部皮瓣包埋和游离中厚皮片植皮结合VSD技术能较好地修复手部大面积皮肤脱套伤并缺损,是一种实用、安全且简便的手术方法。【Abstract】 Objective To investigate the ideal repair method for large-area hand avulsed wound and soft tissue defects. Methods From June 2005 to January 2010, 12 patients with large-area hand avulsed wound and soft tissue defects were repaired with abdominal skin flaps and skin grafting combined with vacuum sealing drainage technique. The patients included 8 males and 4 females with their age ranged from 21 to 56 years averaging at 34 years. The causes of injury were machine twist injury in 9 cases and road accident injury in 3 cases. All the injuries combined with exposure of tendon, joint or bone. The area of defects ranged from 8 cm×9 cm to 18 cm×25 cm. The time between injury and operation was 4 to 17 hours averaging at 6.5 hours. The palm of hand and fingers were repaired by abdominal pedicle skin flaps, and the dorsum of hand and wrist were repaired by skin grafting combined with vacuum sealing drainage. About 3 weeks later, all pedicles of the abdominal flaps were cut off and flaps plasty were carried out. Results All patients were followed up from 6 to 42 months with an average period of 17 months. All of the flaps and skin grafts survived. Only 6 patients had distal edge partial necrosis, and all of them healed after a short time of dressing changes or second-stage skin grafting. All skin grafts of the donor sites survived and all the wounds healed by first intention. All the injured hands recovered well to their original shape and function except partial bad skin sensation. The sense of two-point discrimination was from 6 mm to 13 mm with an average distance of 9.5 mm. The active motion of metacarpophalangeal joints averaged at 60°, and the interphalangeal articulations averaged at 30°. Conclusion Abdominal skin flaps and skin grafting combined with vacuum sealing drainage technique can be used to repair large-area hand avulsed wound and soft tissue defects, and it is practical, safe and simple.

    Release date:2016-09-08 09:26 Export PDF Favorites Scan
  • Negative Pressure Treatment for Wound of Different Types at Different Parts

    【摘要】 目的 探讨负压引流技术对不同部位、不同类型创面的方法和效果。 方法 回顾性分析2009年5月-2010年12月采用负压引流技术治疗85例创面的临床资料。其中男51例,女34例;年龄4~75岁,平均年龄48岁。 结果 79例创面行1次负压治疗后、6例创面连续行2次负压治疗后情况明显改善,二期行游离皮片移植术或皮瓣转移术修复创面,术后创面均Ⅰ期愈合,皮片或皮瓣存活良好。 结论 负压吸引治疗技术简便有效,可靠安全,能加速清除不同部位、不同类型创面的坏死组织,改善创面条件,缩短创面治疗时间。【Abstract】 Objective To explore the effects of negative pressure treatment on wound of different types at different parts. Methods The clinical data of 85 patients (51 males and 34 females; 4-75 years old) with wound who received negative pressure treatment between May 2009 and December 2010 were retrospectively analyzed. Results After receiving negative pressure treatment for once in 79 patients and twice in 6, the wound improved obviously. All cases received regular methods such as skin grafting or tissue flap transferring to reconstruct the wound. All of the 85 patients healed by first intention and the skin grafts or flaps survived well. Conclusion Negative pressure treatment is a simple, effective, stable and safe method for wound treatment, which can accelerate eliminating necrotic tissue of wound of different types at different parts, improve the wound condition and shorten the period of therapy.

    Release date:2016-09-08 09:27 Export PDF Favorites Scan
  • Perioperative Nursing for Children with Extensive Skin Avulsion Injury in Lower Limbs Treated by Vacuum Sealing Drainage

    ObjectiveTo discuss nursing measures and experiences for children with extensive skin avulsion injury of lower limbs treated by vacuum sealing drainage (VSD). MethodsWe reviewed the perioperative nursing data of 48 child patients with extensive skin avulsion injury in lower limbs who underwent VSD treatment between December 2010 to October 2012. And the data were compared with those for 56 children with the same disease and treatment between January 2007 and November 2010. ResultsIn these 48 children, 19 received once, 23 received twice, and 6 received 3 times of vacuum sealing drainage. During the treatment, 5 drainage tubes were blocked and were solved with normal saline, and 3 drainage tubes had leakage and two of them were reconnected and the other one became normal after changing the dressing. For VSD, the time between being wounded and skin-grafting was 13.6 days, and the average hospitalization time was 24.3 days. Compared with the traditional method group, children in the VSD group had fewer drug changes during hospitalization, lower infection rate, and shorter hospitalization stay, and the differences were significant (P<0.05). ConclusionKeeping drainage tube airtight, normal and effective is as important as nutrition and mental nursing in the treatment of children's extensive skin avulsion injury in lower limbs, which can decrease infection rate, reduce average hospitalization time, and increase operative efficacy.

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  • 大面积撕脱伤患者负压封闭引流效果的影响因素

    目的探讨影响负压封闭引流(VSD)治疗大面积皮肤撕脱伤患者效果的影响因素。 方法对2009年10月-2012年10月使用VSD治疗的大面积撕脱伤的120例患者进行分析,并讨论在引流过程中影响护理效果的因素。根据患者的临床治疗效果分为愈合组和不愈合组。由护士收集患者负压是否调节适当、引流装置是否漏气、引流是否通畅、引流管是否选择适当、分泌物是否堵塞、敷料是否干结变硬、创面局部是否感染、是否吸烟、有无全身基础疾病(如高血压、糖尿病、心肌梗死)、健康宣教的情况。通过相关分析和回归分析两种方法分析影响VSD效果的因素。 结果愈合组(痊愈+显效)88例(73.33%),不愈合组(好转+无效)32例(36.36%)。负压调节适当、引流装置不漏气、引流通畅、引流管选择适当、分泌物未堵塞、健康宣教与VSD效果有相关性(P<0.05)。 结论对于大面积撕脱伤患者负压调节是否适当作为一个独立的因素对VSD的疗效有决定性的作用;在护理过程中护理人员应密切观察装置是否漏气、分泌物是否堵塞和引流是否通畅、创面局部是否感染、敷料是否干结变硬等情况。

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  • Evaluation of Leakage Management and Skin Care by Improved Homemade Mobile Vacuum Sealing Drainage Device for Enterocutaneous Fistula Patients

    ObjectiveTo explore the leakage management and skin care by improved homemade portable vacuum sealing drainage device used for enterocutaneous fistula, in order to solve such confusing problems as leakage collection and nursing for patients with inconvenient activity. MethodsThe homemade portable vacuum sealing drainage device was made by using hydrophilic fiber of silver ion antimicrobial dressings, leak-proof strings, skin protective film, transparent patches, sputum suction tube, bottle of portable infusion, and negative pressure drainage bottle. Between January 2011 and September 2013, patients with enterocutaneous fistula admitted into our hospital were divided into traditional treatment group and portable vacuum sealing treatment group according to the admission time, and traditional center negative pressure suction treatment and portable negative pressure drainage method were used respectively for the two groups of patients. We verified the effect of the mobile vacuum sealing drainage device through comparing these two groups in terms of wound healing time, redness, burst and impregnation of the skin. ResultsThe wound healing time was significantly shorter for patients in the portable vacuum sealing drainage treatment group (P<0.05), and patients in this group also had a lower occurrence of skin redness, impregnation and burst. ConclusionHomemade portable negative pressure drainage device for enterocutaneous fistula patients can reduce the incidence of skin complications such as redness, impregnation and burst, promote patients' activity, and reduce the patients' pain.

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  • 负压封闭引流技术在胸外科手术后胸壁切口感染治疗中的临床应用

    目的总结使用负压封闭引流技术治疗胸壁伤口感染的初步经验及体会。 方法回顾性分析2011年7月至2013年10月四川大学华西医院16例开胸手术后发生胸壁切口感染患者的临床资料,其中男13例,女3例;年龄(50.8±6.7)岁。手术种类包括脓胸廓清术、肺叶切除术、纵隔肿瘤切除术和食管癌根治术。通过应用负压封闭引流技术,进行伤口的持续负压吸引治疗,观察治疗效果,积累初步经验。 结果经过持续负压引流,16例患者中有3例未达到二期缝合的标准(负压封闭引流愈合标准),其中2例由于患者耐受差,不愿继续使用,转为每日更换敷料;1例由于伤口感染控制不佳,感染范围增加,更换为每日换药治疗。总的负压封闭引流治疗愈合率为81.2%(13/16)。6例(37.5%)患者为多次安置负压封闭引流。累计保留负压封闭引流时间为4~24 d,中位时间9 d。治疗过程中无负压封闭引流相关不良事件发生。随访11例,随访时间2~8个月,失访5例。11例患者中,1例出现轻微的伤口异物反应(皮下缝线),经拆除皮下缝线后治愈;其余患者伤口均愈合良好,未见感染复发。 结论负压封闭引流技术治疗胸外科手术后胸壁切口感染安全、可行、有效,患者耐受好,具有较高的临床应用价值。而通过初期的使用经验总结,有利于我们拓展负压封闭引流技术的应用领域,整体提高胸外科手术后伤口感染的治疗效果。

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  • Vacuum sealing drainage in the treatment of mesh infection following inguinal hernia repair

    Objective To observe the clinical effect of vacuum sealing drainage (VSD) in the treatment of mesh infection following inguinal hernia repair. Methods A total of 24 patients who suffered form mesh infection following inguinal hernia repair and got treatment in our hospital from February 2012 to December 2015 were collected and divided into 2 groups according to the type of treatment, 12 patients (13 sides) of VSD group received treatment of VSD, and 12 patients (13 sides) of conventional group received conventional treatment. Comparison between the 2 groups in mesh retention rate, the wound healing time, hospitalization cost, and hospital stay was performed. Results There was significant difference in mesh retention rate〔76.9% (10/13)vs. 30.8% (4/13)〕, the wound healing time〔(20.5±4.4) dvs. (29.7± 6.7) d〕, hospitalization cost〔(18 430.1±7 180.2) RMBvs. (12 201.1±6 453.2) RMB〕, and hospital stay〔(23.5±4.1) dvs. (30.7±6.5) d〕between the VSD group and conventional group (P<0.050). Compared with conventional group, the mesh retention rate and hospitalization cost were higher, the wound healing time and hospital stay were shorter in VSD group. Conclusions VSD can effectively control the mesh infection following hernia repair, improve the mesh retention rate. The VSD can also promote growth of granulation tissue in cavity, shorten the wound healing time and hospital stay, but has a high hospitalization cost than conventional treatment.

    Release date:2017-04-01 08:56 Export PDF Favorites Scan
  • The clinical effect of VSD technology in the treatment of high perianal abscess

    Objective To evaluate the clinical effect of vacuum sealing drainage (VSD) technology in the treatment of high perianal abscess. Methods A total of 38 cases of high perianal abscess who underwent surgery in our hospital from May. 2014 to Feb. 2016 were randomly divided into 2 groups: the VSD group (n=19) and the control group (n=19). The cases of VSD group were performed with closure of internal orifice+VSD technique, and the cases of control group were treated with radical operation of perianal abscess (low incision combined with high thread operation). The following indexes of cases in 2 groups were compared and analyzed, including postoperative pain score, wound healing time, postoperative anal function score, and prognosis. Results There were significant differences in pain score (3.53±0.70vs. 5.11±0.74), postoperative anal function score (0vs. 1), and wound healing time〔(27.58±4.95) dvs. (44.68±6.53) d〕between VSD group and control group,P<0.05. Compared with the control group, the pain score and anal function score of the VSD group were both lower, and the wound healing time was shorter. However, there was no statistically significant difference in incidence of fistula between the two groups〔5.3% (1/19)vs. 15.8% (3/19),P=0.60〕. Conclusion In the treatment of high perianal abscess, VSD technology can relieve pain in patients, shorten the wound healing time, protect the anal function, and the prognosis is as well as low incision combined with high thread operation, so VSD is a better treatment method for high perianal abscess.

    Release date:2017-04-01 08:56 Export PDF Favorites Scan
  • 负压封闭引流在乳腺癌改良根治术后腋窝引流中的应用价值

    目的评价负压封闭引流(VSD)在乳腺癌改良根治术后腋窝引流中的应用效果。 方法收集 2017 年 1 月至 2018 年 2 月期间达州市中心医院乳腺甲状腺外科收治的 128 例行乳腺癌改良根治术患者的临床资料(均为女性),其中胸壁及腋窝均使用普通硅胶管引流患者 60 例(对照组),胸壁使用普通硅胶管而腋窝使用去除吸附泡沫材料的 VSD 装置患者 68 例(观察组),比较 2 组患者的术后腋窝拔管时间以及腋窝皮瓣感染、腋窝积液和皮瓣坏死及切口愈合情况。 结果与对照组比较,观察组的腋窝拔管时间明显更早(Z=–3.340,P=0.001),腋窝皮瓣感染率(χ2=4.486,P=0.034)和腋窝积液率(χ2=5.901,P=0.015)更低,切口甲级愈合率更高(χ2=11.715,P=0.001),而 2 组术后腋窝皮瓣坏死率比较差异无统计学意义(χ2=0.483,P=0.487)。 结论乳腺癌改良根治术后腋窝使用 VSD 能降低患者术后腋窝并发症的发生率。

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