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梁王班,李实忠,张菊影.持续封闭负压引流术联合微粒皮种植术用于下肢慢性溃疡创面修复的临床效果[J].中国医药科学,2020,(1):258-260        基金项目:
持续封闭负压引流术联合微粒皮种植术用于下肢慢性溃疡创面修复的临床效果
Clinical effect of continuous closed vacuum sealing drainage combined with micro-skin implantation on chronic ulcer wound healing of lower extremity
  
DOI:
中文关键词:  持续封闭负压引流术;微粒皮种植术;下肢慢性溃疡;创面修复
英文关键词:Continuous closed vacuum sealing drainage (VSD);Micro-skin implantation;Chronic ulcers of the lower extremities;Wound healing
作者单位
梁王班,李实忠,张菊影 广东省阳江市阳东区人民医院骨二科,广东阳江 529500 
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中文摘要:
      [摘要] 目的 探讨持续封闭负压引流术联合微粒皮种植术用于下肢慢性溃疡创面修复的临床效果。 方法随机选取 2016 年 8 月~ 2019 年 8 月我院下肢慢性溃疡患者 90 例,随机分为 VSD 联合微粒皮种植术治疗组(联合治疗组,n=45)和 VSD 单独治疗组(单独治疗组,n=45)两组,统计分析两组患者的创面面积缩小比例、清创时间、临床疗效。 结果 联合治疗组患者的创面面积缩小比例显著高于单独治疗组,差异有统计学意义(P < 0.05),清创时间显著短于单独治疗组,差异有统计学意义(P < 0.05),治疗的总有效率为 93.3%(42/45)显著高于单独治疗组的 77.8%(35/45),差异有统计学意义(P < 0.05)。 结论 VSD 联合微粒皮种植术用于下肢慢性溃疡创面修复的临床效果较单独 VSD 好,有效促进创面愈合,缩短创面治疗时间,而且操作简单,值得临床推广。
英文摘要:
      [Abstract] Objective To investigate the clinical effect of continuous closed vacuum sealing drainage (VSD) combined with micro-skin implantation on chronic ulcer wound healing of lower extremity. Methods 90 patients with chronic ulcers of lower extremity who were treated in our hospital from August 2016 to August 2019 were randomly selected and divided into VSD combined micro-skin implantation group (combined treatment group,n=45) and VSD alone treatment group (alone treatment group,n=45).The wound area reduction ratio,debridement time and clinical efficacy of patients in the two groups were statistically analyzed. Results The reduction of wound area in the combined treatment group was significantly higher than that in the alone treatment group,and the difference was statistically significant (P < 0.05).The debridement time in the combined treatment group was significantly shorter than that in the alone treatment group with statistically significant difference (P < 0.05).The total effective rate of treatment in the combined treatment group was 93.3% (42/45),which was significantly higher than that of the alone treatment group (77.8% (35/45)),and the difference was also statistically significant (P < 0.05). Conclusion The clinical effects of VSD combined with micro-skin implantation for chronic ulcer wound healing of lower extremity is better than theVSD alone treatment.The former can effectively promote wound healing,shorten wound treatment time,and is easy to operate.Therefore,it is worthy of clinical promotion.
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