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基于纱布的负压伤口治疗:一种治疗坏疽性脓皮病的有效方法。

Gauze-based negative pressure wound therapy: a valid method to manage pyoderma gangrenosum.

作者信息

Fraccalvieri Marco, Fierro Maria Teresa, Salomone Marco, Fava Paolo, Zingarelli Enrico M, Cavaliere Giovanni, Bernengo Maria G, Bruschi Stefano

机构信息

Plastic Surgery Department, University of Turin, San Giovanni Battista di Torino, Via Cherasco 23, Turin, ItalyDepartment of Biomedical Sciences and Human Oncology, Section of Dermatology, University of Turin, San Giovanni Battista di Torino, Via Cherasco 23, Turin, Italy.

出版信息

Int Wound J. 2014 Apr;11(2):164-8. doi: 10.1111/j.1742-481X.2012.01058.x. Epub 2012 Aug 14.

DOI:10.1111/j.1742-481X.2012.01058.x
PMID:22891652
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7950988/
Abstract

Pyoderma gangrenosum (PG) is an uncommon ulcerative, non-infective chronic inflammatory skin disorder of unknown aetiology. Systemic therapies are necessary to control the associated medical diseases, and, due to the inflammatory nature of PG, topical or systemic immunosuppressant agents are effective, but wound healing is usually slow. Negative wound pressure therapy (NPWT) has become an important tool for the management of complex skin ulcers, and usage in PG has been recently described in the literature: we present four cases of classic PG in which NPWT in association with systemic therapy achieved wound healing and a drastic pain reduction.

摘要

坏疽性脓皮病(PG)是一种病因不明的罕见溃疡性、非感染性慢性炎症性皮肤病。控制相关内科疾病需要进行全身治疗,由于PG的炎症性质,局部或全身免疫抑制剂有效,但伤口愈合通常缓慢。负压伤口治疗(NPWT)已成为治疗复杂皮肤溃疡的重要工具,近期文献中已有关于其在PG中应用的描述:我们报告4例典型PG病例,其中NPWT联合全身治疗实现了伤口愈合并显著减轻了疼痛。

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本文引用的文献

1
Tissue ingrowth into foam but not into gauze during negative pressure wound therapy.在负压伤口治疗期间,组织长入泡沫材料但未长入纱布。
Wounds. 2009 Nov;21(11):302-9.
2
A retrospective study of 12 cases of pyoderma gangrenosum: why we should avoid surgical intervention and what therapy to apply.12例坏疽性脓皮病的回顾性研究:为何应避免手术干预及应采用何种治疗方法。
Am Surg. 2011 Dec;77(12):1644-9.
3
Feasibility of conservative medical treatment for pyoderma gangrenosum.坏疽性脓皮病的保守治疗可行性。
In Vivo. 2012 Jan-Feb;26(1):157-9.
4
Histological evolution of chronic wounds under negative pressure therapy.慢性伤口在负压治疗下的组织学演变。
J Plast Reconstr Aesthet Surg. 2012 Jan;65(1):91-9. doi: 10.1016/j.bjps.2011.08.016. Epub 2011 Aug 31.
5
Patient's pain feedback using negative pressure wound therapy with foam and gauze.患者使用泡沫和纱布的负压伤口疗法的疼痛反馈。
Int Wound J. 2011 Oct;8(5):492-9. doi: 10.1111/j.1742-481X.2011.00821.x. Epub 2011 Aug 9.
6
Negative pressure wound therapy using gauze and foam: histological, immunohistochemical and ultrasonography morphological analysis of the granulation tissue and scar tissue. Preliminary report of a clinical study.负压伤口疗法联合纱布和泡沫:肉芽组织和瘢痕组织的组织学、免疫组织化学和超声形态学分析。一项临床研究的初步报告。
Int Wound J. 2011 Aug;8(4):355-64. doi: 10.1111/j.1742-481X.2011.00798.x. Epub 2011 May 12.
7
Pyoderma gangrenosum: a report of a rare complication after knee arthroplasty requiring muscle flap cover supplemented by negative pressure therapy and hyperbaric oxygen.坏疽性脓皮病:膝关节置换术后一种罕见并发症的报告,需要肌瓣覆盖,并辅以负压治疗和高压氧治疗。
J Plast Reconstr Aesthet Surg. 2011 Nov;64(11):1528-32. doi: 10.1016/j.bjps.2011.03.024. Epub 2011 Apr 21.
8
Diagnosis and treatment of the neutrophilic dermatoses (pyoderma gangrenosum, Sweet's syndrome).中性粒细胞性皮肤病(坏疽性脓皮病、Sweet 综合征)的诊断与治疗。
Dermatol Ther. 2011 Mar-Apr;24(2):273-84. doi: 10.1111/j.1529-8019.2011.01403.x.
9
Successful treatment of wound breakdown caused by pyoderma gangrenosum after total knee arthroplasty.全膝关节置换术后坏疽性脓皮病所致伤口破溃的成功治疗
Knee. 2011 Dec;18(6):453-5. doi: 10.1016/j.knee.2010.06.005. Epub 2010 Jul 18.
10
Atypical pyoderma gangrenosum following total knee replacement surgery: First report in dermatologic literature.全膝关节置换术后非典型坏疽性脓皮病:皮肤病学文献中的首例报告。
An Bras Dermatol. 2009 Nov-Dec;84(6):689-91. doi: 10.1590/s0365-05962009000600020.