From the Plastic Surgery Department, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Ann Plast Surg. 2024 Aug 1;93(2S Suppl 1):S19-S26. doi: 10.1097/SAP.0000000000003891. Epub 2024 Jun 4.
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.
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。