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目的探讨持续封闭负压引流(VSD)并立体多层分区域持续负压引流对老年大面积慢性难愈性复杂创面的治疗效果。方法对我院收治的老年大面积慢性难愈性复杂创面1例的临床资料进行回顾性分析。结果本例为82岁男性,因左侧阴囊、肛周、会阴部和左侧腹股沟皮下组织窦道形成3年余,加重3个月入院。曾在当地医院予单一换药及抗感染治疗,症状未见好转。入院后予抗感染、静脉补液及营养支持,同时行创面坏死组织清除术+VSD覆盖术,待创面好转后行窦道开放清创术+立体多层次置管引流+VSD覆盖术,并予对症治疗,创面愈合良好出院。随访1.5年,创面逐渐痊愈。结论立体多层分区域持续负压引流结合VSD覆盖术治疗老年大面积慢性难愈性复杂创面临床效果好,愈合时间短,且无相关并发症发生。
Objective To investigate the curative effect of continuous closed negative pressure drainage (VSD) and three-dimensional multi-layered sub-regional continuous negative pressure drainage on large chronic refractory complex wounds in elderly patients. Methods A retrospective analysis was carried out on the clinical data of 1 case of chronic large complex chronic ulcer in our hospital. Results In this case, an 82-year-old man was admitted to the hospital for an additional 3 months because of the formation of the sinus of the subcutaneous tissue of the left scrotum, perianal crease, perineum, and left groin for more than three years. Had a single dressing in the local hospital and anti-infective treatment, the symptoms did not improve. After admission to the anti-infective, intravenous rehydration and nutritional support, while the line of necrotic tissue removal surgery + VSD coverage, until the wound improvement after open sinus debridement + three-dimensional multi-level drainage and VSD VSD cover, and symptomatic Treatment, wound healing well discharged. Follow-up 1.5 years, the wound gradually healed. Conclusions Stereoscopic multi-layered sub-regional continuous negative pressure drainage combined with VSD coverage in the treatment of elderly large-area chronic refractory complex wounds has good clinical effect, short healing time and no related complications.