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负压伤口疗法治疗慢性创面。

Negative Pressure Wound Therapy for Chronic Wounds.

机构信息

From the Plastic Surgery Department, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.

出版信息

Ann Plast Surg. 2024 Aug 1;93(2S Suppl 1):S19-S26. doi: 10.1097/SAP.0000000000003891. Epub 2024 Jun 4.

DOI:10.1097/SAP.0000000000003891
PMID:38896874
Abstract

Chronic wounds, including those caused by venous and arterial insufficiency, diabetic complications, and pressure-induced ulcers, pose significant treatment challenges. Negative pressure wound therapy has been increasingly used for managing these wounds. This treatment aims to promote wound healing, prepare the wound bed for further surgical intervention, minimize the risk of infection, and potentially shorten the time to wound healing. Considering variances in techniques applied in different regions globally, there is an emerging need to comprehensively evaluate the effectiveness of negative pressure wound therapy on chronic wounds. Unfortunately, detailed descriptions of the techniques applied to achieve negative pressure are often lacking in existing literature abstracts, posing challenges for direct comparisons. This review aims to analyze the application of negative pressure wound therapy in the treatment of chronic wounds, summarize its advantages and disadvantages, and further explore the potential value and future research direction of negative pressure wound therapy in the repair of chronic wounds.

摘要

慢性伤口,包括静脉和动脉功能不全、糖尿病并发症和压力引起的溃疡引起的伤口,都存在治疗上的巨大挑战。负压伤口治疗已越来越多地用于处理这些伤口。这种治疗方法旨在促进伤口愈合,为进一步的手术干预准备好伤口床,最大限度地减少感染的风险,并有可能缩短伤口愈合的时间。考虑到全球不同地区应用的技术存在差异,全面评估负压伤口治疗对慢性伤口的有效性变得越来越重要。不幸的是,现有文献摘要中经常缺乏对实现负压所应用技术的详细描述,这使得直接比较变得具有挑战性。本综述旨在分析负压伤口治疗在慢性伤口治疗中的应用,总结其优缺点,并进一步探讨负压伤口治疗在慢性伤口修复中的潜在价值和未来研究方向。

相似文献

1
Negative Pressure Wound Therapy for Chronic Wounds.负压伤口疗法治疗慢性创面。
Ann Plast Surg. 2024 Aug 1;93(2S Suppl 1):S19-S26. doi: 10.1097/SAP.0000000000003891. Epub 2024 Jun 4.
2
A systematic review of topical negative pressure therapy for acute and chronic wounds.急性和慢性伤口局部负压治疗的系统评价
Br J Surg. 2008 Jun;95(6):685-92. doi: 10.1002/bjs.6238.
3
Negative pressure wound therapy as an adjunct in healing of chronic wounds.负压伤口治疗作为慢性伤口愈合的辅助手段。
Int Wound J. 2015 Aug;12(4):436-42. doi: 10.1111/iwj.12132. Epub 2013 Jul 16.
4
Negative-pressure therapy versus standard wound care: a meta-analysis of randomized trials.负压治疗与标准伤口护理的比较:随机试验的荟萃分析。
Plast Reconstr Surg. 2011 Nov;128(5):498e-503e. doi: 10.1097/PRS.0b013e31822b675c.
5
[Negative pressure therapy- supportive method in chronic wound treatment].[负压疗法——慢性伤口治疗中的支持方法]
Acta Med Croatica. 2013 Oct;67 Suppl 1:89-94.
6
The clinical effectiveness of negative pressure wound therapy: a systematic review.负压伤口治疗的临床有效性:一项系统评价。
J Wound Care. 2010 Nov;19(11):490-5. doi: 10.12968/jowc.2010.19.11.79697.
7
Negative pressure wound therapy: an algorithm.负压伤口疗法:算法。
Clin Plast Surg. 2012 Jul;39(3):311-24. doi: 10.1016/j.cps.2012.05.002. Epub 2012 Jun 2.
8
EWMA Document: Negative Pressure Wound Therapy.EWMA文件:负压伤口治疗
J Wound Care. 2017 Mar 1;26(Sup3):S1-S154. doi: 10.12968/jowc.2017.26.Sup3.S1.
9
Complex Wound Management Using Negative Pressure Wound Therapy With Instillation and Dwell Time in a Cancer Care Setting.在癌症治疗环境中使用灌洗和驻留时间的负压伤口治疗进行复杂伤口管理。
Wounds. 2020 May;32(5):118-122.
10
Chronic Wounds: Evaluation and Management.慢性伤口:评估与管理。
Am Fam Physician. 2020 Feb 1;101(3):159-166.

引用本文的文献

1
Temporal Regulation of Early-Stage Cytokine Expression in Diabetic Wound Healing Under Negative Pressure Wound Therapy.负压伤口治疗下糖尿病伤口愈合早期细胞因子表达的时间调控
Int J Mol Sci. 2025 May 13;26(10):4634. doi: 10.3390/ijms26104634.
2
Reducing Infections and Improving Healing in Complex Wounds: A Systematic Review and Meta-Analysis.减少复杂伤口感染并促进愈合:一项系统评价与荟萃分析
J Clin Med. 2025 May 7;14(9):3237. doi: 10.3390/jcm14093237.
3
Dual Delivery of Cells and Bioactive Molecules for Wound Healing Applications.
用于伤口愈合应用的细胞与生物活性分子的双重递送
Molecules. 2025 Mar 31;30(7):1577. doi: 10.3390/molecules30071577.