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目的:探讨大面积烧伤后出现感染创面难愈合患者治疗中联用VSD(负压封闭引流术)、扩创植皮术的效果。方法:分73例大面积烧伤后出现感染创面难愈合的患者为2组,34例接受扩创植皮术治疗为植皮组,39例联合扩创植皮术、VSD治疗为联合组,对照两组效果。结果:联合组创面愈合的时间明显比植皮组短,创面愈合率明显较植皮组高,VAS评分明显比植皮组低,且联合组仅5.13%出现并发症,对照于植皮组的20.59%明显较高,P<0.05。结论:对于大面积烧伤后创面发生感染难以愈合的患者,联合施予VSD、扩创植皮术效果优越,可使促进患者创面的早期良好愈合。
Objective: To investigate the effect of VSD (negative pressure closed drainage) and invasive grafting in the treatment of patients with wound infection after extensive burns. Methods: Seventy-three cases of wound healing after wound infection were divided into two groups. 34 cases underwent expanded grafting for skin grafting and 39 cases combined with expanded grafting. VSD treatment was performed in both groups . Results: The wound healing time in the combined group was significantly shorter than that in the skin grafting group. The wound healing rate was significantly higher than that in the skin grafting group. The VAS score was significantly lower than that in the skin grafting group. Only 5.13% in the combined group showed complications compared with 20.59% in the grafting group High, P <0.05. CONCLUSIONS: In patients with wounds with large burns, it is difficult to heal wounds. Combined with VSD, wound augmentation and skin grafting are effective and can promote early wound healing in patients.