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负压伤口疗法在肌肉骨骼肿瘤手术中的应用。

Negative-pressure wound therapy for musculoskeletal tumor surgery.

机构信息

First Department of Orthopaedics, Athens University Medical School, Attikon General Hospital, Greece.

出版信息

Adv Skin Wound Care. 2011 Jan;24(1):25-30. doi: 10.1097/01.ASW.0000392924.75970.b9.

Abstract

OBJECTIVE

To evaluate the effect of negative-pressure wound therapy in musculoskeletal tumor surgery patients.

MATERIALS AND METHODS

The authors analyzed the medical records of 32 patients treated at the authors' institution for bone and soft-tissue sarcomas and secondary wound-healing complications, from 2005 to 2008; there were 11 men and 21 women, with a mean age of 56 years (range, 35-72 years).

RESULTS

A statistically significant difference (P = .036) was found regarding the length of hospitalization in the conventional wound treatment group, group A (mean, 25.2 days; range, 15-52 days), compared with the negative wound pressure therapy group, group B (mean, 16.5 days; range, 12-33 days).

CONCLUSIONS

The use of negative-pressure wound therapy for the management of complicated wound healing in sarcoma patients following tumor surgery is safe and effective and is associated with lower overall complications rates, infection rate, and the need for further surgery and a lower total cost of wound-healing treatment.

摘要

目的

评估负压伤口疗法在肌肉骨骼肿瘤手术患者中的疗效。

材料与方法

作者分析了作者所在机构治疗骨和软组织肉瘤以及继发性伤口愈合并发症的 32 名患者的病历,时间为 2005 年至 2008 年;其中男性 11 例,女性 21 例,平均年龄 56 岁(范围 35-72 岁)。

结果

常规伤口治疗组 A(平均 25.2 天;范围 15-52 天)与负压伤口治疗组 B(平均 16.5 天;范围 12-33 天)相比,住院时间的差异有统计学意义(P=.036)。

结论

对于肿瘤手术后肉瘤患者复杂伤口愈合的管理,使用负压伤口疗法是安全有效的,并且与较低的总并发症发生率、感染率以及对进一步手术和伤口愈合治疗总成本的需求相关。

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