目的:评价真空通气治疗开放性骨折初次固定后伤口更快、更有效愈合的作用

Ashutosh Verma, Jeetesh V. Patel, A. Saroj, Shailesh Kumar, Sudhanshu Agarwal, Atula Yadav
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引用次数: 0

摘要

真空辅助闭合(VAC)是一种无创、主动的伤口管理系统,它将伤口床暴露在局部大气压下,从血管外空间清除液体,改善循环,促进肉芽组织的增殖。本研究的目的是了解骨折初次固定后采用真空辅助闭合治疗的伤口愈合过程中伤口感染率、创面贴合进行皮肤覆盖手术所需天数、形成均匀肉芽组织床所需天数。18至60岁的患者被纳入这项前瞻性随机对照试验。术后尽快进行骨折内固定,并应用VAC。根据Johner和Wruh(1983)每次随访记录的病例功能结果。本研究对30例双侧骨腿开放性骨折患者进行初步内固定后应用VAC进行治疗。随访期间,VAC治疗后创面面积有效缩小(平均±SD)为9.97±9.59 cm2, p值为0.0481。这项技术有效地减少了伤口大小和感染,并提供了更好的功能结果。发现VAC的最大优点是促进暴露的肌腱,骨骼,生区伤口和暴露的植入物伤口上肉芽组织的快速形成,从而缩短愈合时间并最大限度地减少软组织缺损覆盖程序。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
To evaluate the role of VAC therapy in open fractures after primary fixation in term of faster and more effective wound healing
Vacuum-assisted closure (VAC) is a noninvasive, active wound management system that exposes a wound bed to local sub atmospheric pressure, removes fluid from the extravascular space, improves circulation, and enhances the proliferation of granulation tissue. The purpose of this study is to know the rate of wound infection, number of days required for making the wound fit for skin cover procedures, number of days required for formation of uniform granulation tissue bed in the wound healing treated by Vacuum Assisted Closure after primary fixation of fracture.Patients between 18 to 60 years were included in this prospective randomized controlled trial. Primary internal Fixation of fracture was done as soon as possible followed by VAC application. Functional outcome of cases recorded during each follow up according to Johner and Wruh’s (1983).According to this study, 30 patients with open fractures of both bone leg after primary internal fixation with VAC application. During follow up effective decrease (mean ± SD) in wound size after VAC therapy was 9.97±9.59 cm2 with P-value 0.0481. This technique has resulted in the effective decrease in wound size, infection and give a better functional outcome.The greatest advantage of VAC was found to facilitate rapid formation of granulation tissue on wounds with exposed tendons, bones, raw area wounds and exposed implants hence decrease healing time and minimize soft tissue defect coverage procedures.
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