Abstract: 【Abstract】〓Objective〓To probe the clinical effect of a kind of modified vacuum sealing drainage in treatment of severe wound in limbs. Methods〓From January, 2013 to September, 2015, 102 cases diagnosed with severe wounds in limbs were enrolled. Based on the treatment, all cases were randomly divided into three groups: conventional treatment, conventional vacuum sealing drainage and modified vacuum sealing drainage. The cases in three groups were 33, 35 and 34, respectively and the number of wound care,.the expenditure of hospitalization,.the length of wound closure and hospital stay were recorded in three groups, as well as the recurrent rate of wound infection. Results〓Compare to conventional treatment group, all of the number of wound care, the expenditure of hospitalization, the recurrent rate of wound infection, the length of wound closure and hospital stay were lower in other two groups. However, the length of wound closure and hospital stay are lower in modified vacuum sealing drainage group than in common vacuum sealing drainage group. Conclusions〓The modified vacuum sealing drainage are better than other two groups. Modified vacuum sealing drainage is an ideal method for severe wounds in limbs.

Key words: Modified, Infectious wound, Vacuum sealing drainage

摘要： 【摘要】〓目的〓探讨改进型负压封闭引流技术治疗骨科复杂创面的的临床效果。方法〓回顾性分析我院2013年1月至2015年9月四肢复杂创面患者102例,其中常规换药方法治疗33例,普通负压封闭引流术治疗35例,改进型负压封闭引流技术治疗34例,比较三组患者换药次数、愈合时间、住院费用、总住院时间以及术后感染复发率等指标。结果〓与传统治疗方法比较,普通型负压封闭引流术和改进型负压封闭引流技术换药次数、愈合时间、住院费用、总住院时间以及术后感染复发率均较低(P<0.05),改进型封闭负压引流术愈合时间和总住院时间亦较普通型短(P<0.05)。结论〓改进型负压封闭引流技术在治疗骨科复杂创面方面,具有减少换药次数、愈合时间、住院费用、总住院时间以及术后感染复发率等作用,是一种较为理想的治疗方法。

关键词: 负压封闭引流, 感染性创面, 改进型