[1]刘钧,杨周健,唐青松.封闭负压引流结合游离植皮修复小儿足深部创面的疗效分析[J].临床小儿外科杂志,2018,17(05):372-375.
　Liu Jun,Yang Zhoujian,Tang Qingsong..Curative effectiveness of vacuum sealing drainage plus free autologous skin graft for ankle deep wounds in children.[J].Journal of Clinical Pediatric Surgery,2018,17(05):372-375.
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封闭负压引流结合游离植皮修复小儿足深部创面的疗效分析

《临床小儿外科杂志》[ISSN:1671-6353/CN:43-1380/R] 卷: 第17卷 期数: 2018年05期 页码: 372-375 栏目: 论著 出版日期: 2018-05-28
Title:
Curative effectiveness of vacuum sealing drainage plus free autologous skin graft for ankle deep wounds in children.
作者:
刘钧; 杨周健; 唐青松
四川省绵阳市中心医院小儿外科
Author(s):
Liu Jun; Yang Zhoujian; Tang Qingsong.
Department of Pediatric Surgery,Mianyang Central Hospital of Sichuan Province,Mianyang 621000,China
关键词:
封闭负压引流; 游离植皮; 足; 创伤和损伤; 治疗结果
Keywords:
Closed negative pressure drainage;  Free skin grafting;  Foot;  Wounds and Injuries;  Treatment Outcome
文献标志码:
A
摘要:
目的 总结应用封闭负压引流结合游离植皮修复小儿足踝深部创面的临床效果。方法 回顾性分析本院2012年1月至2017年1月，应用封闭负压引流结合游离植皮修复术治疗的50例患者临床资料，其中男22例，女28例，年龄5 ~ 11岁，平均年龄（7.21 ± 1.12）岁，均为足踝深部缺损，伴有骨骼或肌腱外露，创面约3.5 cm × 5 cm 至 9 cm × 10 cm大小，分析术后创面愈合情况。结果 50例患者植皮成活，均未出现感染现象。8例发生皮肤表皮破损，主要原因为VSD敷料压迫，经对症处理后创面完全愈合。50例患者均获随访，随访时间9 ~ 68个月，平均（28.3 ± 9.5）个月，末次随访根据Maryland足部评分标准：优40例，良8例，中1例，差1例，优良率为96.0%。结论 封闭负压引流结合游离植皮修复小儿足踝深部创面效果较好，是一种有效的治疗方法。
Abstract:
ObjectiveTo evaluate the effectiveness of vacuum sealing drainage (VSD) plus free autologous skin graft for ankle deep wounds in children.MethodsFrom January 2012 to January 2017,clinical data were analyzed for 50 children of ankle deep wounds with bone and bone exposure.There are 28 boys and 22 girls with an average age of (7.21±1.12)(5~11) years.The size of wound varied from 3.5 cm×5 cm to 9 cm×10 cm.Vacuum sealing drainage plus free autologous skin graft were applied.Their complication rates and postoperative healing status were recorded.ResultsAll skin grafts survived without infection.Epidermal damages due to dressing compression occurred in 8 patients and healed by adjusting VSD.The average followup period was (28.3±9.5)(9~68) months.Based on the criteria of Maryland foot score,the final followup outcomes were excellent (n=40),decent (n=8),fair (n=1) and poor (n=1).And the excellent/decent rate was up to 96.0%.ConclusionThe method of vacuum sealing drainage plus free autologous skin graft is efficacious for repairing ankle deep wounds in children.
更新日期/Last Update: 2018-05-23