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皮肤拉伸装置在糖尿病足伤口修复中的应用

[Application of skin stretching device in repair of diabetic foot wound].

作者信息

Gao Lei, Wang Shuo, Wang Lei, Wang Jiangning

机构信息

Department of Orthopaedic Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing, 100038, P.R.China.

Department of Orthopaedic Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing, 100038,

出版信息

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2018 May 15;32(5):591-595. doi: 10.7507/1002-1892.201801104.

Abstract

OBJECTIVE

To evaluate the clinical value of skin stretching device in repair of diabetic foot wound.

METHODS

A retrospective analysis was made on the clinical data of 48 cases with diabetic foot wound who were treated with skin stretching device (trial group, =24) and with the vacuum sealing drainage combined with skin graft (control group, =24) respectively between October 2015 and July 2016. There was no significant difference in gender, age, side, course of disease, TEXAS stage between 2 groups ( >0.05). Both patients in 2 groups were treated with sensitive antibiotics according to the results of bacterial culture.

RESULTS

One case in control group was infected and the skin graft failed, and 1 case in trial group was infected after the treatment, and the two wounds healed after symptomatic treatment. The wounds of the other patients healed successfully, and the healing time of the trial group was significantly shorter than that of the control group [(12.8±11.6) days . (22.3±10.4) days; =2.987, =0.005). All patients were followed up 3-12 months after operation, and no wound dehiscence or recurrence occurred during follow-up.

CONCLUSION

Compared with the vacuum sealing drainage combined with skin graft, the application of skin stretching device in the repair of diabetic foot wound has advantages, such as easy to operate, shorten the wound healing time, and the appearance of wound was similar with the adjacent skin.

摘要

目的

评估皮肤拉伸装置在糖尿病足创面修复中的临床价值。

方法

回顾性分析2015年10月至2016年7月期间分别采用皮肤拉伸装置治疗的48例糖尿病足创面患者(试验组,n = 24)和采用封闭式负压引流联合植皮治疗的患者(对照组,n = 24)的临床资料。两组患者在性别、年龄、患侧、病程、TEXAS分期方面差异无统计学意义(P > 0.05)。两组患者均根据细菌培养结果使用敏感抗生素治疗。

结果

对照组1例发生感染,植皮失败;试验组1例治疗后发生感染,经对症处理后创面愈合。其余患者创面均顺利愈合,试验组愈合时间明显短于对照组[(12.8±11.6)天 vs.(22.3±10.4)天;t = 2.987,P = 0.005]。所有患者术后随访3 - 12个月,随访期间无创面裂开或复发。

结论

与封闭式负压引流联合植皮相比,皮肤拉伸装置应用于糖尿病足创面修复具有操作简便、缩短创面愈合时间、创面外观与邻近皮肤相近等优点。

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