Yuan-Innes M J, Temple C L, Lacey M S
Division of Plastic Surgery at the London Health Sciences Centre and the Department of Plastic Surgery at the University of Western Ontario, London, Ontario, Canada.
Spine (Phila Pa 1976). 2001 Feb 1;26(3):E30-3. doi: 10.1097/00007632-200102010-00006.
The use of vacuum-assisted therapy to close upper thoracic and thoracolumbar spinal wounds was studied retrospectively. Two patients whose wounds failed conservative management were successfully treated by negative pressure therapy.
The authors evaluated the efficacy of applying vacuum therapy on patients with exposed spinal hardware and summarized current knowledge about this treatment.
Vacuum therapy was applied three times on two patients.
Success was defined as a stable, closed wound that required no future surgery and had no signs of chronic infection.
Both patients' wounds were closed successfully and have received follow-up treatment for up to 10 months with no sign of recurrence.
The cases illustrate the usefulness of vacuum-assisted therapy as an adjunct in closing complex back wounds with exposed spinal hardware. In the authors' experience, it helps establish a soft tissue envelope for wound healing and simplifies the need for future surgery.
回顾性研究了使用真空辅助疗法闭合上胸椎和胸腰椎脊柱伤口的情况。两名伤口保守治疗失败的患者通过负压疗法成功治愈。
作者评估了对脊柱内固定物外露患者应用真空疗法的疗效，并总结了有关该治疗方法的现有知识。
对两名患者进行了三次真空疗法。
成功定义为伤口稳定闭合，无需进一步手术且无慢性感染迹象。
两名患者的伤口均成功闭合，且已接受长达10个月的随访治疗，无复发迹象。
这些病例说明了真空辅助疗法作为闭合伴有脊柱内固定物外露的复杂背部伤口的辅助手段的有效性。根据作者的经验，它有助于为伤口愈合建立软组织包膜，并简化未来手术的需求。
