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目的探讨负压封闭引流(vacuum sealing drainage,VSD)技术治疗在四肢创伤复杂创面中的临床应用价值。方法 回顾性分析我院自2009年6月-2010年6月收治的100例创伤性四肢骨折患者的临床资料。100例患者根据治疗方式分为治疗组和对照组,治疗组采用VSD治疗,对照组采用常换药治疗。结果治疗后,治疗组和对照组创面面积分别为(26.52±10.19)cm2和(43.80±14.40)cm2,与治疗前比较差异有统计学意义(P<0.05);且治疗组与对照组比较差异有统计学意义(P<0.05)。治疗组临床疗效总有效率为98.0%,显著高于对照组(64.0%),相比较差异有统计学意义(P<0.05)。治疗组并发症发生率为16.0%,显著低于对照组(46.0%),相比较差异有统计学意义(P<0.05)。治疗组住院时间为(18.19±5.68)d,医疗费用为(16 359.48±1 759.89)元,显著低于对照组(P<0.05)。结论 VSD是治疗四肢创伤复杂创面的理想方法,值得临床推广应用。
Objective To investigate the clinical value of vacuum sealing drainage (VSD) in the treatment of complex trauma of limbs. Methods The clinical data of 100 patients with traumatic limb fractures admitted in our hospital from June 2009 to June 2010 were retrospectively analyzed. One hundred patients were divided into treatment group and control group according to the treatment method. The treatment group was treated with VSD while the control group was treated with regular dressing change. Results After treatment, the wound area of the treatment group and the control group were (26.52 ± 10.19) cm2 and (43.80 ± 14.40) cm2, respectively, with significant difference compared with that before treatment (P <0.05); and the difference between the treatment group and the control group There was statistical significance (P <0.05). The total effective rate of the treatment group was 98.0%, significantly higher than that of the control group (64.0%), the difference was statistically significant (P <0.05). The incidence of complications in the treatment group was 16.0%, which was significantly lower than that in the control group (46.0%). The difference was statistically significant (P <0.05). The hospitalization duration was (18.19 ± 5.68) days in treatment group and (16 359.48 ± 1 759.89) yuan in treatment group, which was significantly lower than that in control group (P <0.05). Conclusion VSD is an ideal method for the treatment of complex wounds of limbs and is worthy of clinical application.