欢迎访问中国烧伤创疡杂志网站！

烧伤创疡再生医疗技术与负压封闭引流技术序惯应用在慢性难愈合创面治疗中的效果分析
Clinical Efficacy of the Sequential Application of MEBT/ MEBO and Vacuum Sealing Drainage (VSD) in the Treatment of Chronic Non.healing Wounds

李永忠,雷云,陈莉,赖晓敏,胡晓东,蒋朔,李云飞.烧伤创疡再生医疗技术与负压封闭引流技术序惯应用在慢性难愈合创面治疗中的效果分析[J].中国烧伤创疡杂志,2019,(3):153~156.

DOI：

中文关键词: 烧伤创疡再生医疗技术负压封闭引流技术湿润烧伤膏慢性难愈合创面序惯疗效

英文关键词:MEBT/MEBO Vacuum sealing drainage Chronic non-healing wound Sequential application Clinical efficacy

基金项目:

作者	单位
李永忠	德阳市人民医院烧伤整形美容科
雷云
陈莉
赖晓敏
胡晓东
蒋朔
李云飞

摘要点击次数: 2076

全文下载次数: 4346

中文摘要:

【摘要】　目的　分析探讨烧伤创疡再生医疗技术与负压封闭引流技术序惯应用在慢性难愈合创面治疗中的临床疗效。方法　对２０１３年１２月至２０１８年１月德阳市人民医院烧伤整形美容科收治的１３２例慢性难愈合创面患者序惯应用烧伤创疡再生医疗技术与负压封闭引流技术治疗，部分面积较大的创面待肉芽组织生长旺盛后予以Ⅱ 期缝合、植皮或皮瓣移植等方式封闭创面，观察治疗效果。结果　创面Ⅰ期愈合者９７例，平均愈合时间为２８ｄ；行Ⅱ期手术封闭创面者２５例，其中植皮封闭创面者２０例、皮瓣移植封闭创面者５例，且最终创面均完全愈合，平均愈合时间为４２ｄ；因拒绝手术或有手术禁忌症未行手术封闭，且创面始终未愈者１０例，平均住院时间为６６ｄ。结论　序惯应用烧伤创疡再生医疗技术与负压封闭引流技术治疗慢性难愈合创面，可有效促进肉芽组织生长，加速创面愈合，疗效显著，临床应用价值较高。

英文摘要:

【Abstract】 Objective To analyze and investigate the clinical efficacy of the sequential application of MEBT/MEBO and vacuum sealing drainage (VSD) in the treatment of chronic non.healing wounds. Methods 132 patients withchronic non.healing wounds admitted into the Burns and Plastic Surgery Department of Deyang People’s Hospital betweenDecember 2013 and January 2018 were treated with the sequential application of MEBT/ MEBO and VSD. For some large.sized wounds, secondary suture, skin grafting or skin flap transplantation were performed to close the wounds when the gran.ulation tissues grew well. The clinical efficacy was observed. Results The wounds of 97 patients realized the primary heal.ing, with the mean healing time being 28 d. 25 patients underwent secondary surgeries to close the wounds, of which 20 pa.tients received skin grafting and 5 patients received skin flap transplantation, and the wounds were all completely healed atthe end, with the mean healing time of 42 d. The wounds of 10 patients remained non.healing because they refused to un.dergo surgeries or had surgical contraindications, and their mean hospitalization length was 66 d. Conclusion The sequen.tial application of MEBT/ MEBO and VSD in the treatment of chronic non.healing wounds can effectively promote the growth of granulation tissues and wound healing, presenting a much high clinical application value.