Ferreira Marcus Castro, Wada Alexandre, Tuma Paulo
Division of Plastic Surgery, Faculty of Medicine, University of São Paulo, São Paulo/SP, Brazil.
Rev Hosp Clin Fac Med Sao Paulo. 2003 Jul-Aug;58(4):227-30. doi: 10.1590/s0041-87812003000400008. Epub 2003 Sep 30.
Treatment of wounds using conventional methods is frequently limited by inadequate local wound conditions, or by a poor systemic clinical situation. Vacuum system may promote faster granulation tissue formation, remove excessive exudate, increase blood flow in the wound, and attract the borders of the wound to the center, reducing its dimension. We present 3 cases of patients with difficult wounds, due to bad local conditions, or poor clinical situation, in whom we used a vacuum system to prepare the wound for the surgical closure. One patient had a pressure ulcer, another had a diabetic foot ulcer, and the third one had an open foot stump. In the 3 cases a significant improvement of the wound conditions was achieved after 7 to 8 days, allowing successful surgical treatment with flap or skin grafts.
使用传统方法治疗伤口常常受到局部伤口条件不佳或全身临床状况较差的限制。负压系统可能会促进肉芽组织更快形成，清除过多的渗出物，增加伤口处的血流，并使伤口边缘向中心聚拢，减小伤口尺寸。我们报告3例伤口处理困难的患者，这些患者因局部条件差或临床状况不佳，我们使用负压系统为伤口进行手术闭合做准备。1例患者患有压疮，另1例患有糖尿病足溃疡，第3例患有开放性足残端。在这3例患者中，7至8天后伤口状况有显著改善，从而能够成功地进行皮瓣或植皮手术治疗。
