皮肤牵拉闭合器联合富氧可调节负压辅助疗法治疗难治性创面的疗效

张鑫锋; 张小丽; 李孟丽; 罗华友; 舒若; 雷毅

doi:10.12259/j.issn.2095-610X.S20210707

皮肤牵拉闭合器联合富氧可调节负压辅助疗法治疗难治性创面的疗效

doi: 10.12259/j.issn.2095-610X.S20210707

张鑫锋^{1, 2, 3},
张小丽^{1, 2, 3},
李孟丽^{1, 2, 3},
罗华友^{1, 2, 3},
舒若^{1, 2, 3},
雷毅^{1, 2, 3, ,}

1.
昆明医科大学第一附属医院国家卫健委毒品依赖和戒治重点实验室
2.
胃肠与疝外科
3.
科研实验中心，云南昆明　650032

基金项目: 国家自然科学基金资助项目（82060516）；云南省消化疾病防治工程技术研究中心基金资助项目（2018DH006）；云南省医疗卫生单位内设研究机构科研基金资助项目（2017NS001）

详细信息

作者简介:
张鑫锋（1996～），男，河北涿州人，医学硕士，住院医师，主要从事普通外科研究工作

通讯作者:
雷毅，E-mail：km-lhy@qq.com

中图分类号: R64
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出版历程
- 收稿日期: 2021-05-19
- 网络出版日期: 2021-07-19
- 刊出日期: 2021-07-21

Top Closure Tension-relief System with Regulated Oxygen-enriched Negative Pressure-assisted Wound Therapy for the Treatment of Refractory Wounds

Xin-feng ZHANG^{1, 2, 3},
Xiao-li ZHANG^{1, 2, 3},
Meng-li LI^{1, 2, 3},
Hua-you LUO^{1, 2, 3},
Ruo SHU^{1, 2, 3},
Yi LEI^{1, 2, 3
, ,}

1.
The NHC Key Laboratory of Drug Addiction Medicine
2.
Dept. of Gastrointestinal and Hernia Surgery
3.
The Scientific Research Laboratory Center，The 1st Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650032，China

摘要

摘要: 目的探讨Top Closure皮肤牵拉闭合器联合富氧可调节负压辅助疗法治疗难治性创面的临床疗效。方法选取2018年8月至2020年7月昆明医科大学第一附属医院胃肠与疝外科收治的不同部位难治性创面患者36例，回顾性分析Top Closure皮肤牵拉闭合器与富氧可调节负压辅助疗法的治疗效果。结果 35例患者经Top Closure皮肤牵拉闭合器与富氧可调节负压辅助疗法治疗后，创面均愈合良好，无愈合不良或不愈合。1例患者因为术后严重的心肺功能衰竭死亡。结论 Top Closure皮肤持续牵张技术联合富氧可调节负压辅助疗法相对简单，大大降低了手术难度，术后伤口愈合良好，可应用于治疗难治性创面。
- Top Closure皮肤持续牵张技术 /
- 富氧可调节负压辅助疗法 /
- 难治性创面 /
- 褥疮 /
- 糖尿病足
Abstract: Objective To investigate the clinical efficacy of Top Closure tension-relief system combined with regulated oxygen-enriched negative pressure-assisted wound therapy in the treatment of refractory wounds. Methods From August 2018 to July 2020, 36 patients with refractory wounds at different sites were selected from the Department of Gastroenterology and hernia surgery, the First Affiliated Hospital of Kunming Medical University. We retrospectively analyzed the therapeutic effects of Top Closure tension-relief system combined with regulated oxygen-enriched negative pressure-assisted wound therapy. Results After 35 patients were treated with Top Closure skin traction occluder and oxygen-enriched adjustable negative pressure therapy, the wounds healed well and there was no malunion or nonunion. One patient died of severe cardiopulmonary failure after operation. Conclusion Top Closure tension-relief system combined with regulated oxygen-enriched negative pressure-assisted wound therapy in the treatment of refractory wounds is relatively simple, it can greatly reduce the difficulty of operation, and make the wound heal well after operation, so it can be used to treat refractory wounds.
- Top Closure tension-relief system /
- Regulated oxygen-enriched negative pressure-assisted wound therapy /
- Refractory wounds /
- Pressure ulcer /
- Diabetic foot

HTML全文

图 1 典型病例1患者右侧臀部肛门旁褥疮术前、术中、术后及痊愈时皮肤状态（创面大小8 cm×6 cm）

Figure 1. Typical case 1 skin condition of right gluteal paranal bedsore before，during，after and after recovery （wound size 8 cm × 6 cm）

下载: 全尺寸图片幻灯片

图 2 典型病例2患者糖尿病足创面术前、术中、术后及痊愈时皮肤状态（创面大小4 cm×2 cm）

Figure 2. Typical case 2 skin condition of diabetic foot wound before，during，after and after operation （wound size 4 cm × 2 cm）

下载: 全尺寸图片幻灯片

图 3 典型病例3患者巨大腹壁缺损术后创面术中、术后及痊愈时皮肤状态

Figure 3. Typical case 3 skin status of patients with huge abdominal wall defect during operation，after operation and at the time of recovery

下载: 全尺寸图片幻灯片

表 1 36例患者创面疗效分析（$\bar x \pm s$）

Table 1. Analysis of curative effect of 36 cases of wounds （$\bar x \pm s$）

疾病类型	人数（n）	年龄（岁）	疤痕质量评分（分）	褥疮愈合质量评分（分）	创面愈合情况	住院时间（周）
褥疮	5	19～50	2.0 ± 1.0	5.0 ± 2.0	痊愈	5.0 ± 1.2
	25	51～90	3.0 ± 1.0	6.0 ± 1.0	24例痊愈 1例死亡	7.0 ± 2.1
糖尿病足	5	65～80	3.0 ± 1.0		痊愈	10 ± 1.5
巨大缺损	1	35	3		痊愈	3

下载: 导出CSV

参考文献(19)

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