Diabetic Foot Unit, Maria Cecilia Hospital, Cotignola, Italy.
Int Wound J. 2013 Dec;10 Suppl 1(Suppl 1):25-31. doi: 10.1111/iwj.12174.
Chronic wounds such as diabetic foot wounds are a tremendous burden to the health care system and often require a multidisciplinary approach to prevent amputations. Advanced technologies such as negative pressure wound therapy (NPWT) and bioengineered tissues have been successfully used in the treatment of these types of complex wounds. However, the introduction of NPWT with instillation (NPWTi) has provided an alternative treatment for treating complex and difficult-to-heal wounds. This article provides an overview of NPWT and the new NPWTi system and describes preliminary experience using NPWTi on patients with complicated infected diabetic foot wounds after surgical debridement and in a multidisciplinary setting.
慢性伤口，如糖尿病足溃疡，给医疗保健系统带来了巨大的负担，通常需要多学科方法来预防截肢。负压伤口治疗（NPWT）和生物工程组织等先进技术已成功用于治疗此类复杂伤口。然而，灌洗式 NPWT（NPWTi）的引入为治疗复杂和难以愈合的伤口提供了另一种治疗选择。本文概述了 NPWT 和新型 NPWTi 系统，并描述了在多学科环境中对接受外科清创术的复杂感染性糖尿病足溃疡患者使用 NPWTi 的初步经验。
