Please wait a minute...

中国现代手术学杂志  2017, Vol. 21 Issue (1): 52-54    DOI: 10.16260/j.cnki.1009-2188.2017.01.013
  临床论著 |
封闭式负压引流治疗糖尿病足溃疡的疗效
邰菂,张承德,王进勇,吴德勇,徐向荣
湖南省常德市第一人民医院烧伤整形科,常德 415000
Vacuumassisted Closure Technique in the Treatment of Diabetic Foot Ulcer
TAI Di, ZHANG Chengde, WANG Jinyong, WU Deyong, XU Xiangrong
Department of Burns and Plastic Surgery, The First People's Hospital of Changde, Changde 415000, Hunan, China
下载:  RICH HTML  PDF (164KB) 
输出:  BibTeX | EndNote (RIS)      
摘要 探讨封闭式负压引流(vacuumassisted closure,VAC)治疗糖尿病足溃疡的疗效。方法选取我院烧伤整形科2014年3月~2015年7月收治的41例糖尿病足溃疡患者作为研究对象,按治疗方法分为两组:观察组(n=24例)采用VAC技术治疗,对照组(n=17例)采用常规换药治疗,比较两组患者的治疗效果。结果治疗后观察组和对照组创面床准备完成时间分别为(15.7±8.6)d和(29.3±10.8)d,组间比较差异有统计学意义(P<0.05)。术后疗效评价:观察组治愈19例,好转4例,无效1例;对照组治愈7例,好转5例,无效5例。观察组有效率达95.83%,高于对照组的70.59%,差异有统计学意义(P<0.05)。结论VAC技术能有效改善和加速糖尿病足溃疡的愈合,值得临床推广。
服务
把本文推荐给朋友
加入引用管理器
E-mail Alert
RSS
作者相关文章
TAI Di
ZHANG Chengde
WANG Jinyong
WU Deyong
XU Xiangrong
关键词:  糖尿病足  溃疡  引流术    
Abstract: ObjectiveTo explore the effect of vacuumassisted closure (VAC) technique in the treatment of diabetic foot ulcer.MethodsA total of 41 cases with diabetic foot ulcer were analyzed retrospectively from March 2014 to July 2015. All patients were divided into two groups: 24 cases of observation group were treated by VAC technique, and 17 cases of control group were treated by conventional dressing treatment. Therapeutic effect was compared between the two groups.ResultsThe preparation duration of wound surface was (15.7±8.6)d and (29.3±10.8)d respectively in the observation group and control group, there was statistical difference in preparation duration between two groups (P<0.05). The result was revealed cure in 19 cases, improved in 4 cases and invalid in 1 case in the observation group, and cure in 7 cases, improved in 5 cases and invalid in 5 cases in the observation group. The effective rate was 95.83% in the observation group, and was higher than 70.59% of the control group (P<0.05).ConclusionThe VAC technique can play a valid role to improve and accelerate wound healing in patients with diabetic foot ulcer, and it is worthy to be popularized.
Key words:  diabetic foot    ulcer    drainage
               出版日期:  2017-02-26      发布日期:  2018-05-25      期的出版日期:  2017-02-26
ZTFLH:  R587.2  
作者简介:  邰菂,男,33岁,湖南省常德市第一人民医院烧伤整形科主治医师。
引用本文:    
邰菂,张承德,王进勇,吴德勇,徐向荣. 封闭式负压引流治疗糖尿病足溃疡的疗效[J]. 中国现代手术学杂志, 2017, 21(1): 52-54.
TAI Di, ZHANG Chengde, WANG Jinyong, WU Deyong, XU Xiangrong. Vacuumassisted Closure Technique in the Treatment of Diabetic Foot Ulcer. Chinese Journal of Modern Operative Surgery, 2017, 21(1): 52-54.
链接本文:  
http://www.surgerychina.com/CN/10.16260/j.cnki.1009-2188.2017.01.013  或          http://www.surgerychina.com/CN/Y2017/V21/I1/52
[1] International Diabetes Federation. IDF Diabetes Atlas Sixth edition poster update 2014[EB/OL].[20141110].http://www.idf.org/diabetesatlas/update2014.
[2] Jiang Y, Wang X, Xia L, et al. A cohort study of diabetic patients and diabetic foot ulceration patients in China[J]. Wound Repair Regen, 2015, 23(2):222230. doi: 10.1111/wrr.12263.
[3] 周建国, 周亚平, 姜兴华, 等. 创面封闭式负压引流(VSD)对四肢皮肤缺损组织外露创面疗效的影响[J]. 河南外科学杂志,2011,17(5):12.
[4] Fleischmann W, Strecker W, Bombelli M, et al. Vacuum sealing as treatment of soft tissue damage in open fractures[J]. Unfallchirurg, 1993, 96(9):488492.
[5] Argenta LC, Morykwas MJ. Vacuumassisted closure: a new method for wound control and treatment: clinical experience[J]. Ann Plast Surg, 1997, 38(6):563576.
[6] Morykwas MJ, Argenta LC, SheltonBrown EI, et al. Vacuumassisted closure: a new method for wound control and treatment: animalstudies and basic foundation[J]. Ann Plast Surg, 1997, 38(6):553562.
[7] Weed T, Ratliff C, Drake DB. Quantifying bacterial bioburden during negative pressure wound therapy: does thewound VAC enhance bacterial clearance?[J]. Ann Plast Surg, 2004, 52(3):276279.
[8] Saxena V, Hwang CW, Huang S, et al. Vacuumassisted closure: microdeformations of wounds and cell proliferation[J]. Plast Reconstr Surg, 2004, 114(5):10861096.
[9] Banwell P, Téot L. Topical negative pressure (TNP): the evolution of a novel wound therapy[J]. J Tissue Viability, 2006, 16(1):1624.
[10] 王春喜, 卢怡, 王晓勇. 负压封闭引流促进创伤修复机制的研究进展[J]. 创伤外科杂志,2009,11(2):184186.
[11] Brem H, Sheehan P, Rosenberg HJ, et al. Evidencebased protocol for diabetic foot ulcers[J]. Plast Reconstr Surg, 2006, 117(7 Suppl):193S209S.
[12] 李靖, 陈绍宗, 李学拥, 等. 封闭负压引流对创面微循环超微结构影响的实验研究[J]. 中国实用美容整形外科杂志,2006,17(1):7577.
[1] 牟泳霖, 张筠, 曹军英, 里子彧, 于馨, 高越. PTGD治疗老年急性胆囊炎105例[J]. 中国现代手术学杂志, 2017, 21(6): 416-418.
[2] 张蕾1,侯梅英2,程刚3,国义民1. 钻孔尿激酶注入引流联合阿托伐他汀钙治疗慢性硬膜下血肿的临床研究[J]. 中国现代手术学杂志, 2017, 21(5): 398-400,0.
[3] 洪文,刘扬,杨博,张忠伟,路明. 三间隙引流术治疗肛周脓肿临床疗效观察[J]. 中国现代手术学杂志, 2017, 21(4): 265-268.
[4] 李荣华,杜向阳,项永胜. 常压转负压引流对全膝关节置换术患者的影响[J]. 中国现代手术学杂志, 2017, 21(1): 40-43.
No Suggested Reading articles found!
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed