首页|四肢难治性感染创面患者实施封闭式负压引流术联合游离植皮及皮瓣移植术的效果

四肢难治性感染创面患者实施封闭式负压引流术联合游离植皮及皮瓣移植术的效果

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目的 观察封闭式负压引流术、游离植皮以及皮瓣移植术联合方案应用于四肢难治性感染创面患者的有效性。方法 选取2022年1-12月本院收治的70例四肢难治性感染创面患者为研究对象,并将患者按照随机数字表法分为对照组和观察组,每组35例。对照组采用常规疗法,观察组采用封闭式负压引流术、游离植皮以及皮瓣移植术的联合疗法,对比两组在炎症水平、疼痛程度、临床相关指标恢复情况、治疗效果以及并发症发生情况方面的差异。结果 与对照组相比,观察组治疗后的炎症相关指标均较低,疼痛(NRS)程度较轻,临床相关指标恢复情况较佳,治疗总有效率较高,且治疗后并发症发生率较低(P<0。05)。结论 四肢难治性感染创面患者在封闭式负压引流术、游离植皮联合皮瓣移植术的综合方案治疗下,病灶部位炎症及疼痛感得以大幅度减轻,治疗后恢复情况较佳,且并发症的发生风险较低,安全性高,疗效显著。
Effect of Closed Negative Pressure Drainage Combined with Free Skin Grafting and Skin Flap Transplantation for Refractory Infected Wounds in the Limbs
Objective To observe effect of closed negative pressure drainage combined with free skin grafting,and skin flap transplantation in treatment of refractory infected wounds in the limbs.Methods The paper chose 70 patients with intractable infectious wound in the limbs from January 2022 to December 2022 in our hospital as study subjects,and divided them into control group with odd numbers,and observation group with even numbers,with 35 research subjects in each group.The former was treated with routine therapy,while the latter with combination of closed negative pressure drainage,free skin grafting,and skin flap transplantation.Difference in inflammation level,pain level,recovery of clinical related indicators,treatment effect,and incidence of complications were compared between two groups.Results Observation group had lower inflammation related indicators,milder pain(NRS),better recovery of clinical related indicators,higher total effective rate of treatment,and lower incidence of complications than control group after treatment(P<0.05).Conclusion Comprehensive treatment of closed negative pressure drainage,free skin grafting,and skin flap transplantation can reduce inflammation and pains at the lesion site of wounds with intractable infections of limbs significantly,with better recovery after treatment,lower incidence of complications,high safety and significant curative effect.

Wounds with intractable infections of limbsClosed negative pressure drainage surgeryFree skin graftingSkin flap transplantationClinical effect

徐业凯、周陈、王雪山、马艳

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南京鼓楼医院集团宿迁医院/徐州医科大学附属宿迁医院 烧伤整形科,江苏 宿迁 223800

四肢难治性感染创面 封闭式负压引流术 游离植皮 皮瓣移植术 临床效果

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(3)
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