Abstract： Objective To observe the effects of vacuum sealing drainage(VSD) with continuous negative pressure lavation and drainage on wound repair in high voltage electrical injury.Methods Fifty-six upper limb injury sites(35 patients with high voltage electrical injuries) were divided into experiment group and control group,with 28 sites in each group.All patients were treated with whole-body and local treatment.Additionally,experiment group was given VSD with continuous negative pressure lavation and drainage for 1-3 weeks and the VSD dressing was replaced every 7 days.The growth of granulation tissue was observed,and then skin grafts or flaps were chosen to close the wound surface.Results After debridement,skin grafts were used in 14 sites and abdominal pedicle flaps in 14 sites in experiment group,as well as in control group.Granulation tissue grew and wounds healed rapidly in experiment group,but slowly in control group.Compared with control group,VSD significantly increased survival rates of skin grafts and flaps(100.0% and 100.0% vs 85.7% and 92.9%,respectively,P<0.05),and obviously decreased hospital stay in patients with skin grafts and patients with abdominal pedicle flaps[(42.5±2.2) and(58.3±4.3)days vs(49.4±2.1) and(62.3±4.2)days,respectively,P<0.05)].Conclusion The application of VSD with continuous negative pressure lavation and drainage can improve the growth situation of granulation tissue to provide a good condition for further closing wound surface,increase the success rates of wound surface repair with skin grafts or flaps,and shorten the hospital stay in high voltage electrical injury.
出版日期: 2011-10-28
引用本文:
杨维琦； 范锟铻； 余旭明； 陈万安； 徐旭； 朱美抒. VSD持续负压灌洗、引流在高压电损伤治疗中的应用[J]. 南昌大学学报（医学版）, 2011, 53(10): 27-29.
YANG Wei-qi,FAN Kun-wu,YU Xu-ming,CHEN Wan-an,XU Xu,ZHU Mei-shu. Application of Vacuum Sealing Drainage with Continuous Negative Pressure Lavation and Drainage in High Voltage Electrical Injury. , 2011, 53(10): 27-29.
2011, Vol. 53 
