本文選題：負壓封閉引流　切入點：植皮術(shù)　出處：《河南科技大學》2015年碩士論文

【摘要】：目的比較分析負壓封閉引流技術(shù)與加壓包扎對四肢創(chuàng)面一期游離植皮的療效。方法選取2013年10月至2014年12月南陽醫(yī)專一附院骨外科收治的四肢皮膚軟組織缺損的78例患者,隨機分成兩組,其中治療組47例,采用一期游離植皮聯(lián)合負壓封閉引流法閉合創(chuàng)面,對照組31例,采用一期游離植皮加壓包扎植皮區(qū)。排除標準:骨與關(guān)節(jié)、神經(jīng)及重要血管等深部組織外露,合并糖尿病、出血性疾病及免疫缺陷性疾病等基礎(chǔ)疾病。以上所有患者均在受傷后8小時內(nèi)進行手術(shù)治療,兩組一般資料非處理因素均衡,患者性別、年齡、受傷部位及致傷原因等分布經(jīng)統(tǒng)計學檢驗無顯著統(tǒng)計學差異。比較治療組和對照組的植皮成活優(yōu)良率、創(chuàng)面感染率、皮下血腫發(fā)生率、創(chuàng)面愈合時間等方面的差異。計量資料采用t檢驗,計數(shù)資料采用X2檢驗,P0.05為差異有統(tǒng)計學意義。結(jié)果兩組在植皮成活優(yōu)良率、皮下血腫發(fā)生率以及創(chuàng)面愈合時間等方面進行比較時,治療組的創(chuàng)面愈合時間小于對照組,治療組的植皮成活優(yōu)良率率明顯高于對照組,而皮下血腫發(fā)生率低于對照組,兩組之間進行統(tǒng)計學比較P0.05,為差異有統(tǒng)計學意義。結(jié)論負壓封閉引流技術(shù)是一種比較理想的促進植皮成活的治療方式,在四肢創(chuàng)面一期游離植皮手術(shù)中,負壓封閉引流技術(shù)的效果明顯優(yōu)于加壓包扎方法。
[Abstract]:Objective to compare and analyze the effect of negative pressure sealing drainage technique and compression bandaging on primary free skin graft in extremities. Methods 78 patients with skin and soft tissue defects of extremities treated in bone surgery department of Nanyang Medical College from October 2013 to December 2014 were selected. The treatment group (47 cases) was divided into two groups randomly. The treatment group (47 cases) was treated with one stage free skin graft combined with negative pressure closure and drainage method, while the control group (31 cases) was treated with the primary free skin graft pressure bandaging the skin graft area. Nerve and important blood vessels were exposed in deep tissues and complicated with diabetes, hemorrhagic and immunodeficiency diseases. All of the above patients underwent surgical treatment within 8 hours after injury. The general data of the two groups were balanced. There was no significant difference in the distribution of sex, age, location and cause of injury. The survival rate of skin graft, wound infection rate, and incidence of subcutaneous hematoma were compared between the treatment group and the control group. There were significant differences in wound healing time between the two groups. T test was used to measure the wound healing time and X2 test was used to count the data. Results there was significant difference between the two groups in the survival rate of skin grafts. When the incidence of subcutaneous hematoma and wound healing time were compared, the wound healing time in the treatment group was smaller than that in the control group, and the excellent and good rate of skin grafting in the treatment group was significantly higher than that in the control group, while the incidence of subcutaneous hematoma was lower in the treatment group than in the control group. Conclusion the technique of negative pressure sealing and drainage is an ideal treatment method to promote the survival of skin grafts. The effect of negative pressure sealing drainage is better than that of pressure bandaging.
【學位授予單位】：河南科技大學
【學位級別】：碩士
【學位授予年份】：2015
【分類號】：R473.6

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本文編號：1659006