负压封闭引流术与加压包扎对四肢创面一期游离植皮的疗效对比

发布时间：2018-03-24 16:00

本文选题：负压封闭引流　切入点：植皮术　出处：《河南科技大学》2015年硕士论文

【摘要】：目的比较分析负压封闭引流技术与加压包扎对四肢创面一期游离植皮的疗效。方法选取2013年10月至2014年12月南阳医专一附院骨外科收治的四肢皮肤软组织缺损的78例患者,随机分成两组,其中治疗组47例,采用一期游离植皮联合负压封闭引流法闭合创面,对照组31例,采用一期游离植皮加压包扎植皮区。排除标准:骨与关节、神经及重要血管等深部组织外露,合并糖尿病、出血性疾病及免疫缺陷性疾病等基础疾病。以上所有患者均在受伤后8小时内进行手术治疗,两组一般资料非处理因素均衡,患者性别、年龄、受伤部位及致伤原因等分布经统计学检验无显著统计学差异。比较治疗组和对照组的植皮成活优良率、创面感染率、皮下血肿发生率、创面愈合时间等方面的差异。计量资料采用t检验,计数资料采用X2检验,P0.05为差异有统计学意义。结果两组在植皮成活优良率、皮下血肿发生率以及创面愈合时间等方面进行比较时,治疗组的创面愈合时间小于对照组,治疗组的植皮成活优良率率明显高于对照组,而皮下血肿发生率低于对照组,两组之间进行统计学比较P0.05,为差异有统计学意义。结论负压封闭引流技术是一种比较理想的促进植皮成活的治疗方式,在四肢创面一期游离植皮手术中,负压封闭引流技术的效果明显优于加压包扎方法。
[Abstract]:Objective to compare and analyze the effect of negative pressure sealing drainage technique and compression bandaging on primary free skin graft in extremities. Methods 78 patients with skin and soft tissue defects of extremities treated in bone surgery department of Nanyang Medical College from October 2013 to December 2014 were selected. The treatment group (47 cases) was divided into two groups randomly. The treatment group (47 cases) was treated with one stage free skin graft combined with negative pressure closure and drainage method, while the control group (31 cases) was treated with the primary free skin graft pressure bandaging the skin graft area. Nerve and important blood vessels were exposed in deep tissues and complicated with diabetes, hemorrhagic and immunodeficiency diseases. All of the above patients underwent surgical treatment within 8 hours after injury. The general data of the two groups were balanced. There was no significant difference in the distribution of sex, age, location and cause of injury. The survival rate of skin graft, wound infection rate, and incidence of subcutaneous hematoma were compared between the treatment group and the control group. There were significant differences in wound healing time between the two groups. T test was used to measure the wound healing time and X2 test was used to count the data. Results there was significant difference between the two groups in the survival rate of skin grafts. When the incidence of subcutaneous hematoma and wound healing time were compared, the wound healing time in the treatment group was smaller than that in the control group, and the excellent and good rate of skin grafting in the treatment group was significantly higher than that in the control group, while the incidence of subcutaneous hematoma was lower in the treatment group than in the control group. Conclusion the technique of negative pressure sealing and drainage is an ideal treatment method to promote the survival of skin grafts. The effect of negative pressure sealing drainage is better than that of pressure bandaging.
【学位授予单位】：河南科技大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R473.6

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