【摘要】 目的探讨早期负压封闭吸引(VSD)联合组织瓣序贯治疗深度电烧伤患者的疗效。方法选取2013年4月至2017年4月安徽医科大学第一附属医院收治的40例深度电烧伤患者,按治疗方法不同将患者分为治疗组与对照组,每组20例。治疗组采用VSD联合组织瓣序贯治疗修复创面,对照组患者采用单纯创面扩创VSD吸引肉芽植皮治疗修复创面。近期(创面拆线前)及远期(出院后半年)进行随访,比较两组患者愈合时间、住院时间、治疗费用及瘢痕指数的差异。结果治疗组愈合时间比对照组短,差异有统计学意义(t=-2.411,P=0.021);治疗组住院时间比对照组短,差异有统计学意义(t=-2.102,P=0.046);治疗组住院费用低于对照组,差异有统计学意义(t=-2.102,P=0.002);治疗组瘢痕指数小于对照组,差异有统计学意义(t=-2.449,P=0.019)。结论早期VSD联合组织瓣序贯治疗是深度电烧伤的有效修复方法,并能最大限度恢复电烧伤部位的功能和外观,其疗效明显好于使用单纯创面扩创VSD吸引肉芽创面植皮法。更多还原

【Abstract】 Objective To investigate the effect of early negative pressure occlusion suction technique and tissue flap sequential treatment on deep electric burn patients. Methods From April 2013 to April 2017,40 patients with deep electric burns admitted to the First Affiliated Hospital of Anhui Medical University were selected. According to different treatment methods,patients were divided into treatment group and control group,with 20 cases in each. In treatment group,VSD was used in combination with sequential tissue flaps to repair the wounds. In control group,patients were treated with simple wounds to expand the VSD to attract granulation skin grafts to repair wounds. Recent follow-up( before wound removal) and long-term( five months after discharge) follow-upwere carried out to compare the difference in healing time,length of stay,treatment cost,and scar index between the two groups. Results The healing time of treatment group was shorter than that of control,and the difference was statistically significant( t =-2. 411,P = 0. 021). The length of stay in treatment group was shorter than that in control group,and the difference was statistically significant( t =-2. 102,P = 0. 046). The hospitalization costs in treatment group were lower than those in control group,and the difference was statistically significant( t =-2. 102,P = 0. 002). The scar index in treatment group was smaller than that in control group,and the difference was statistically significant( t =-2. 449,P = 0. 019). Conclusion Early VSD combined tissue flap sequential therapy is an effective repair method for deep electric burns,which can restore the function and appearance of electric burns to a maximum extent. Its curative effect is obviously better than using a simple wound surface to expand VSD to attract granulation wounds for skin grafting.更多还原