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[负压封闭引流技术在创面愈合中的应用研究进展及其机制]

[Advances in the research of application of vacuum-assisted closure in wound healing and its mechanism].

作者信息

Xie S L, Guo G H, Min D H

机构信息

Department of Burns, the First Affiliated Hospital of Nanchang University, Nanchang 330006, China.

出版信息

Zhonghua Shao Shang Za Zhi. 2017 Jun 20;33(6):397-400. doi: 10.3760/cma.j.issn.1009-2587.2017.06.024.

Abstract

As a new generation of negative pressure drainage technology, vacuum-assisted closure (VAC) can provide stable and persistent negative pressure, and there are several modes to choose from. VAC plays an important role in closing wounds quickly, controlling infection, promoting angiogenesis, increasing blood flow, and promoting granulation tissue growth of wounds. It is now widely applied in all kinds of acute, chronic, and special wounds in clinic with good therapeutic results. However, we need to pay attention to contraindications and complications of VAC when it is used, avoiding secondary damage due to improper treatment. In this review, we summarize VAC dressings, treating pressure and mode choice, mechanism in promoting wound healing, and clinical application of VAC.

摘要

作为新一代负压引流技术,封闭负压引流(VAC)能提供稳定持续的负压,且有多种模式可供选择。VAC在快速闭合伤口、控制感染、促进血管生成、增加血流以及促进伤口肉芽组织生长方面发挥着重要作用。目前已广泛应用于临床各类急慢性及特殊伤口,治疗效果良好。然而,使用VAC时需注意其禁忌证和并发症,避免因治疗不当造成二次损伤。在本综述中,我们总结了VAC敷料、治疗压力及模式选择、促进伤口愈合的机制以及VAC的临床应用。

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