首页|负压封闭引流固定移植皮片对儿童深度烧伤创面效果

负压封闭引流固定移植皮片对儿童深度烧伤创面效果

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目的 探讨负压封闭引流(VSD)固定移植皮片在儿童深度烧伤创面治疗中的应用效果.方法 回顾性分析62例烧伤病儿的临床资料,其中应用VSD固定移植皮片治疗29例(观察组),传统加压固定皮片治疗33例(对照组).比较两组病儿细菌培养阳性率、移植皮片成活率、外观和功能满意度及治疗费用.结果 观察组移植皮片细菌阳性率低于对照组,差异有统计学意义(P=0.026);观察组移植皮片成活率高于对照组,差异有显著性(t=3.89,P<0.01);观察组家长满意度高于对照组,差异有显著性(t=4.11,P<0.01);观察组治疗费用高于对照组,差异有统计学意义(t=6.84,P<0.05).结论 应用VSD固定移植皮片能够降低创面感染率,提高皮片成活率及改善皮片外观,但治疗费用相对较高.
VACUUM SEALING DRAINAGE FOR SKIN GRAFT FIXING IN CHILDREN WITH DEEP BURN WOUNDS
Objective To assess the clinical efficacy of vacuum sealing drainage (VSD) for skin graft fixation in children with deep hurn wound.Methods Clinical data of 62 burn children were retrospectively analyzed.Among the patients,VSD was applied in 29 patients to fix the skin graft in observation group,and a traditional compression fixation (TCF) of skin graft was used in 33 patients to fix the skin graft in control group.A comparison between the two groups was done regarding positive rate of bacterial culture,graft survival rate,appearance,satisfaction with function and treatment costs.Results The positive rate of bacterial culture in the observation group was lower than that in the control group (P =0.026),the survival rate of skin graft was higher in the observation group versus the control group (t =3.89,P<0.01),the parent satisfaction was higher in the observation group versus the control group (t=4.11,P<0.01),and the treatment costs were higher in the observation group (t =6.84,P<0.05).Conclusion Applying vacuum sealing drainage for skin graft fixation in the treatment of burn wounds can reduce wound infection rate,promote skin graft survival rate and improve skin appearance,but the cost of treatment is relatively high.

burnsdrainagenegative-pressure wound therapyskin transplantationchild

渠开攀、李惠斌、李美佳

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青岛大学附属临沂市人民医院烧伤整形科,山东临沂276000

青岛大学附属医院烧伤整形科

烧伤 引流术 负压伤口疗法 皮肤移植 儿童

2017

齐鲁医学杂志
青岛大学医学院

齐鲁医学杂志

影响因子:0.609
ISSN:1008-0341
年,卷(期):2017.32(1)
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