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目的:研究筛孔状中厚皮片反植联合封闭式负压引流术(VSD)对四肢皮肤撕脱伤患者的疗效以及预后影响。方法:选择佛山市顺德区龙江医院2014年2月至2016年2月收治的68例四肢皮肤撕脱伤患者作为研究对象,随机将其分为对照组和观察组两组,每组34例。其中对照组患者进行撕脱皮片原位回植和加压包扎治疗,观察组患者则采用筛孔状中厚皮片反植与VSD的联合治疗,比较两组患者的治疗效果。结果:治疗1周后,观察组患者的疗效优良率为88.24%,显著高于对照组的67.65%,差异具有统计学意义(P<0.05);观察组患者换药次数、抗生素费用、不良反应发生率、住院时间均显著少于对照组,且观察组患者创面缩小程度显著优于对照组,差异具有统计学意义(P<0.05)。结论:筛孔状中厚皮片反植与VSD联合治疗四肢严重皮肤撕脱伤患者的效果更好,换药次数少,有效降低术后不良反应的发生率,缩短住院时间。
Objective: To study the curative effect and prognosis of patients with skin avulsion on extremities with mesh-like medium-thickness skin graft combined with closed negative pressure drainage (VSD). Methods: Sixty-eight cases of avulsion of extremities treated in Longjiang Hospital of Shunde District of Foshan City from February 2014 to February 2016 were randomly divided into control group and observation group, with 34 cases in each group . The control group of patients with orthotopic skin flap replantation and bandaging, the observation group of patients with mesh-like mesothelial thickening and VSD combination therapy, the treatment effect of two groups were compared. Results: After 1 week of treatment, the excellent and good rate of the observation group was 88.24%, which was significantly higher than that of the control group (67.65%), the difference was statistically significant (P <0.05); the number of dressing change, antibiotic expense, adverse reaction Incidence and hospital stay were significantly less than the control group, and the observation group was significantly smaller than the control group, the difference was statistically significant (P <0.05). CONCLUSION: The combination of mesh-like medium-thickness skin graft and VSD in the treatment of severe skin avulsion injuries in limbs is more effective and the number of dressing changes is less, which can effectively reduce the incidence of postoperative adverse reactions and shorten the hospital stay.