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[负压引流后的伤口愈合]

[Wound healing after vacuum drainage].

作者信息

Davydov Iu A, Larichev A B, Abramov A Iu

出版信息

Khirurgiia (Mosk). 1992 Jul-Aug(7-8):21-6.

PMID:1469864
Abstract

Vacuum therapy was applied in the management of 63 patients with postoperative ventral hernias, 101 patients with a similar pathological conditions were treated by the traditional method for wound healing. From analysis of the results of treatment and with due consideration for the results of additional methods of examination it was established that vacuum prevents accumulation of exudate and blood clots in the wound cavity and removes the risk medium for the development of pyo-inflammatory complications. Moreover, by promoting the coming together of the wound edges and liquidation of the wound cavity, vacuum therapy affects the metabolic reorganizations in the tissues and leads to stabilization of the regeneration mechanisms. The use of vacuum therapy in the postoperative period creates the possibility of regulating the reparative reactions through an active effect on the healing of the wound in the phase of inflammation, protecting in this manner the biology of the wound process and preventing infectious complications.

摘要

对63例术后腹疝患者采用了负压疗法,101例患有类似病理状况的患者采用传统方法促进伤口愈合。通过对治疗结果的分析,并适当考虑其他检查方法的结果,确定负压可防止伤口腔内渗出物和血凝块的积聚,并消除脓性炎症并发症发生的风险介质。此外,通过促进伤口边缘的合拢和伤口腔的清理,负压疗法影响组织中的代谢重组,并导致再生机制的稳定。在术后使用负压疗法通过对炎症期伤口愈合产生积极影响,创造了调节修复反应的可能性,从而以这种方式保护伤口愈合过程的生物学特性并预防感染性并发症。

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