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目的探讨负压封闭引流术(VSD)在四肢软组织损伤中的应用效果。方法选取2011年6月至2014年9月收治的80例四肢软组织损伤患者,根据患者入院时间单双日将其分为VSD组与对照组各40例,分别行VSD治疗与常规清创换药治疗,比较两组的治疗效果。结果 VSD组受伤至创面清洁时间短于对照组[(10.21±1.42)h vs(18.95±3.62)h,P<0.01],两组患者的手术次数、创面愈合时间、住院时间等比较有统计学差异(P<0.01,P<0.05);且两组的Ⅱ期手术时间、换药次数、治疗后创面面积及抗生素费用比较差异均有统计学意义(P均<0.01);两组患者不同方式治疗后植皮总有效率分别为97.5%、80.0%,组间比较差异有统计学意义(P<0.05)。结论运用VSD治疗软组织缺损可显著提高临床疗效,缩短治疗时间及住院时间,促进患者康复。
Objective To investigate the effect of vacuum closure drainage (VSD) on soft tissue injury of extremities. Methods Eighty patients with soft tissue injury of the extremities admitted from June 2011 to September 2014 were divided into VSD group and control group according to their hospitalization dates on the single and double days, 40 cases were treated with VSD and conventional debridement dressing Treatment, the treatment effect of two groups were compared. Results The wound healing time in VSD group was shorter than that in control group [(10.21 ± 1.42) h vs (18.95 ± 3.62) h, P <0.01]. The number of operation, wound healing time and hospital stay in both groups were statistically significant (P <0.01, P <0.05). There were significant differences in the operation time, dressing change frequency, wound area and antibiotic cost between the two groups (all P <0.01) The total effective rate of skin grafting after treatment was 97.5% and 80.0%, respectively, with significant difference between the two groups (P <0.05). Conclusion VSD treatment of soft tissue defects can significantly improve clinical efficacy, shorten the treatment time and hospital stay, and promote patient rehabilitation.