负压伤口治疗在外阴癌皮瓣修复术后伤口并发症患者中的应用：一项回顾性研究
Application of Negative-Pressure Wound Therapy in Patients with Wound Complications after Flap Repair for Vulvar Cancer: A Retrospective Study.
作者信息
Qiu Liangzhi, Wu Xianrong, Wang Xiu
机构信息
Liangzhi Qiu, MSN, RN; Xianrong Wu, BSN, RN; and Xiu Wang, BSN, RN are Nurses Certified in Wound, Ostomy, and Continence, Chronic Wound and Ostomy Department, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China. The authors have disclosed no financial relationships related to this article. Submitted October 19, 2023; accepted in revised form June 24, 2024.
出版信息
Adv Skin Wound Care. 2025 Apr 1;38(3):142-147. doi: 10.1097/ASW.0000000000000247. Epub 2024 Dec 12.
OBJECTIVE
To analyze the characteristics of postoperative wound complications (WCs) in patients following vulvectomy with flap repair and evaluate the efficacy of negative-pressure wound therapy (NPWT) in wound healing.
METHODS
This study retrospectively reviewed 17 patients with WCs following vulvectomy with flap repair at a tertiary comprehensive hospital from January 2016 to December 2022. All patients were treated with NPWT, and the wound healing rate, healing time, and NPWT-related complications were observed.
RESULTS
The most common WCs were seroma and lymphorrhea (52.94%; nine cases), followed by wound infection (35.29%, six cases), fat liquefaction (23.53%, four cases), wound dehiscence (17.65%, three cases), and wound ischemia (5.88%, one case). The main locations for flap WCs were the vulva (64.71%), thigh (35.29%), and pubic symphysis (23.53%). One patient halted treatment; the remaining 16 patients all achieved complete healing with a mean healing time of 43.50 ± 17.92 days. One complication was associated with the use of NPWT: procedural pain (17.65%, three cases).
CONCLUSIONS
The use of NPWT may contribute to accelerated wound healing after flap repair in vulvar cancer and is safe for clinical application.
目的
分析皮瓣修复外阴切除术后患者伤口并发症（WCs）的特点，并评估负压伤口治疗（NPWT）对伤口愈合的疗效。
方法
本研究回顾性分析了2016年1月至2022年12月在一家三级综合医院接受皮瓣修复外阴切除术后发生WCs的17例患者。所有患者均接受NPWT治疗，观察伤口愈合率、愈合时间及NPWT相关并发症。
结果
最常见的WCs是血清肿和淋巴漏（52.94%，9例），其次是伤口感染（35.29%，6例）、脂肪液化（23.53%，4例）、伤口裂开（17.65%，3例）和伤口缺血（5.88%，1例）。皮瓣WCs的主要发生部位是外阴（64.71%）、大腿（35.29%）和耻骨联合（23.53%）。1例患者停止治疗；其余16例患者均实现完全愈合，平均愈合时间为43.50±17.92天。与NPWT使用相关的并发症有1种：操作疼痛（17.65%，3例）。
结论
NPWT的使用可能有助于加速外阴癌皮瓣修复术后的伤口愈合，临床应用安全。
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