EFFECT OF VACUUM SEALING DRAINAGE IN TREATMENT OF SKIN AND SOFT TISSUE AVULSION OF THE EXTREMITIES
Objective To investigate the effect of vacuum sealing drainage (VSD) in the replantation of the avulsed skin and soft tissue of the extremities.Methods A retrospective study was performed in 192 patients with skin and soft tissue avulsion of the extremities who were hospitalized in our hospital from January 2012 to December 2014.All patients underwent debridement and replantation of skin and soft tissue,and then 87 patients (group A) received simple pressure dressing,while 105 patients (group B) received VSD.The following indices were compared between the two groups:survival rate of skin and soft tissue,treatment duration,and pain score,infection rate,and reoperation rate at 72 h after surgery.Results Compared with group A,group B had a significantly higher survival rate of skin and soft tissue (Z=8.146,P＜0.01) and a significantly shorter hospital stay ((12.4±2.3) d vs (23.1±3.1) d,t =6.121,P ＜0.05).And group B had significantly lower pain score,infection rate,and reoperation rate at 72 hours after surgery than group A (1.78±0.67 vs 8.32±1.05,t=5.332,P＜0.05;12.4％ vs 47.1％,x2=5.691,P＜ 0.05;18.1％ vs 44.8％,x2 =5.729,P＜0.05).Conclusion In the replantation of the avulsed skin and soft tissue of the extremities,compared with simple pressure dressing,VSD can shorten the treatment duration,relieve patients' pain,and reduce the reoperation rate and the burden of medical staff.
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万方数据
维普
