Retrospective analysis of the treatment of deep burns in the hands by wound scabbing excision and skin grafting combined with vacuum sealing drainage
Objective To explore the effect of wound excision scab grafting combined with negative pressure closure drainage(VSD)in the treatment of deep burns of the hand.Methods A retrospective study was conducted on the clinical data of 94 patients with deep burns of the hands admitted to the 988th Hospital of the Joint Logistics Support Force from August 2017 to December 2023.According to the treatment plan,46 patients who underwent wound excision and scab grafting were selected as the control group,and 48 patients who underwent surface excision and scab grafting combined with VSD were selected as the study group.Compare the survival status of skin grafts,wound recovery,finger function,and complications between two groups of patients.Results Two weeks after surgery,the survival rate of skin grafting in the study group was(92.85±2.63)％,which was higher than that in the control group(79.68±2.77)％,and the difference was statistically significant(P＜0.05);The wound healing time,granulation tissue growth time,and blood flow recovery time of the study group were shorter than those of the control group,and the difference was statistically significant(P＜0.05);Six months after surgery,the flipping time and placement time of the study group patients were shorter than those of the control group,and the number of affected hands,hands,and assemblies was higher than that of the control group,with statistical significance(P＜0.05);One week after surgery,the incidence of complications in the study group was 4.17％,which was lower than the control group's 21.74％,and the difference was statistically significant(P＜0.05).Conclusions The combination of wound scab excision and skin grafting with VSD has a significant effect on the treatment of deep bums in the hands,which can improve the survival rate of skin grafting and enhance wound recovery.
handdeep bumwound scabbing excision and skin graftingvacuum sealing drainage
万方数据
维普
