负压伤口治疗：最新进展。
Negative pressure wound therapy: An update.
作者信息
El-Sabbagh Ahmed Hassan
机构信息
Plastic Surgery Center, Faculty of Medicine, Mansoura University, Mansoura 35516, Egypt.
出版信息
Chin J Traumatol. 2017 Apr;20(2):103-107. doi: 10.1016/j.cjtee.2016.09.004. Epub 2017 Jan 25.
Abstract
PURPOSE
To get the maximum benefit of vacuum-assisted closure (VAC) in the management of acute and chronic wounds without abuse or misuse.
METHODS
Fourty one patients were included in the study. Among them, 9 patients had chronic wounds and the rest 32 patients had acute wounds. In acute wounds, 19 patients had co-morbid conditions. Seven patients had gaped wounds, 4 patients had necrotizing fasciitis and 2 patients had enterocutaneous fistula.
RESULTS
The hospitalization period varied from 1 to 6 weeks. The follow-up period was up to 6 months. No mortality was recorded during this study. All skin grafts showed complete healing. Necrotizing fasciitis was managed with good outcome. Wounds with enterocutaneous fistula have improved. In chronic wounds, good healing and excellent outcome were obtained.
CONCLUSION
The VAC therapy is an essential element for the management of problematic acute and chronic wounds.
摘要
目的
在不滥用或误用的情况下，使真空辅助闭合（VAC）在急性和慢性伤口管理中获得最大益处。
方法
41名患者纳入本研究。其中，9名患者有慢性伤口，其余32名患者有急性伤口。在急性伤口患者中，19名患者有合并症。7名患者有开放性伤口，4名患者有坏死性筋膜炎，2名患者有肠皮肤瘘。
结果
住院时间从1至6周不等。随访期长达6个月。本研究期间无死亡记录。所有皮肤移植均显示完全愈合。坏死性筋膜炎得到有效治疗。肠皮肤瘘伤口有所改善。在慢性伤口方面，实现了良好愈合和出色疗效。
结论
VAC疗法是处理疑难急性和慢性伤口的重要手段。
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