VSD技术在小腿慢性感染性创面中的临床运用

大理大学学报 ›› 2021, Vol. 6 ›› Issue (4): 44-47.

VSD技术在小腿慢性感染性创面中的临床运用

宋政，李爱民，金竹炫，赵利民

（1.大理大学第一附属医院胸心外科，云南大理 671000；2.大理大学第一附属医院普外二科，
云南大理 671000；3.巍山县人民医院骨科胸外科，云南巍山 672400）

收稿日期:2019-12-12 修回日期:2020-06-01 出版日期:2021-04-15 发布日期:2021-05-19
作者简介:宋政，住院医师，主要从事胸心外科疾病诊治研究。

Clinical Application of Vacuum Sealing Drainage in the Treatment of Chronic Leg Ulcers

Song Zheng, Li Aimin, Jin Zhuxuan, Zhao Limin

（1. Department of Cardiothoracic Surgery, The First Affiliated Hospital of Dali University, Dali, Yunnan 671000, China; 2. Department
of General Surgery, The First Affiliated Hospital of Dali University, Dali, Yunnan 671000, China; 3. Department of Orthopaedics and
Thoracic Surgery, Weishan County People′s Hospital, Weishan, Yunnan 672400, China）

Received:2019-12-12 Revised:2020-06-01 Online:2021-04-15 Published:2021-05-19

摘要/Abstract

摘要： ［摘要］目的：分析负压封闭引流（VSD）技术治疗小腿慢性感染性创面的临床疗效，为临床应用提供治疗依据。方法：收集巍
山县人民医院收治的50例小腿慢性感染性创面患者，根据治疗类型分为对照组和观察组，每组25例；对照组予外科清创后换
药处理，观察组在外科清创后行VSD治疗。比较两组患者的营养状况、疼痛评分、创面二期缝合准备时间、住院天数、住院总
费用、出院后换药次数及术后复发情况。结果：两组患者年龄、性别、创面部位、病史、创面面积、创面初次处理方式、抗生素使
用时间等一般资料和白蛋白水平、自评-主观全面评估量表评分等营养状况资料比较，差异无统计学意义（P＞0.05）。观察组
在治疗后第1、3、5天疼痛程度较对照组减轻，且在第3、5天减轻明显，差异有统计学意义（P<0.05）；观察组创面二期缝合准备
时间、住院时间、出院后换药次数均少于对照组，差异有统计学意义（P<0.05）；观察组住院总费用高于对照组，差异有统计学
意义（P< 0.05）；出院后对照组有4例患者创面发生复发感染，观察组无复发感染病例，差异具有统计学意义（P<0.05）。结论：
VSD对治疗小腿慢性感染性创面效果明显，但费用较高，应根据患者创面情况个性化应用。

关键词: ［关键词］慢性感染性创面, 负压封闭引流技术, 小腿创面

Abstract: 〔Abstract〕Objective: To analyze the clinical effect of VSD in the treatment of chronic leg ulcers so as to provide a treatment basis for
clinical application. Methods: 50 patients with chronic leg ulcers in Weishan County People′s Hospital were selected. They were divided
into the control group and the observation group according to the type of treatment, with 25 patients in each group. The control group was
treated with dressings after surgical debridement, and the observation group was treated with VSD treatment after surgical debridement.
The nutritional status, the pain score, the preparation time of secondary suture, length of hospitalization, total hospitalization expenses,
the number of dressing changes after discharge and postoperative recurrence were compared between the two groups. Results: There was
no significant difference between the two groups in age, gender, wound site, history, wound area, initial treatment of wounds, duration of
antibiotic use, albumin levels, and PG-SGA score（P>0.05）. The pain degree of the observation group was less than that of the control
group on the 1st, 3rd and 5th day after treatment, and the difference was statistically significant on the 3rd and 5th day（P<0.05）. The
preparation time of secondary suture, and length of hospitalization and dressing changes after discharge in the observation group were less
than those in the control group, with statistically significant differences（P<0.05）. The total expenses of hospitalization in the observation
group were higher than that in the control group, and the difference was statistically significant（P<0.05）. After discharge, there were 4
cases of recurrent infection in the control group, and no cases of recurrent infection in the observation group, the difference was
statistically significant（P<0.05）. Conclusion: VSD has obvious effects in the treatment of chronic infectious wounds of the lower limbs,
but the cost is high, so the application should be individualized according to the wound condition of patients.

Key words: 〔Key words〕chronic ulcers, vacuum sealing drainage, leg wound

中图分类号:

R454

宋政, 李爱民, 金竹炫, 赵利民. VSD技术在小腿慢性感染性创面中的临床运用[J]. 大理大学学报, 2021, 6(4): 44-47.

Song Zheng, Li Aimin, Jin Zhuxuan, Zhao Limin. Clinical Application of Vacuum Sealing Drainage in the Treatment of Chronic Leg Ulcers[J]. Journal of Dali University, 2021, 6(4): 44-47.

参考文献

〔1〕MILNE S D，CONNOLLY P，AL HAMAD H，et al. Develop⁃
ment of Wearable Sensors for Tailored Patient Wound
Care〔J〕. Annu Int Conf IEEE Eng Med Biol Soc，2014，
2014：618-621.
〔2〕钟文龙，杨思敏，郭再冉，等. 骨炎托毒丸联合负压封闭
引流技术治疗骨科慢性感染创面临床研究〔J〕. 亚太传
统医药，2019，15（2）：117-119.
〔3〕LIMA RVKS，COLTRO P S，FARINA JA JÚNIOR. Negative
Pressure Therapy for the Treatment of Complex Wounds〔J〕.
Rev Col Bras Cir，2017，44（1）：81-93.
〔4〕YUAN X G，ZHANG X，FU Y X，et al. Sequential Therapy
with "Vacuum Sealing Drainage-Artificial Dermis Implan⁃
tation-Thin Partial Thickness Skin Grafting" for Deep and

Infected Wound Surfaces in Children〔J〕. Orthop Traumatol

Surg Res，2016，102（3）：369-373.
〔5〕陈增红，娄寅，曹东升，等. 外科清创联合封闭式负压引
流术治疗慢性创面的疗效〔J〕. 安徽医学，2019，40（8）：
876-878.
〔6〕PERCIVAL S L，MCCARTY S M，LIPSKY B. Biofilms and
Wounds：An Overview of the Evidence〔J〕. Adv Wound Care
（New Rochelle），2015，4（7）：373-381.
〔7〕陈少华，熊会林. 皮肤慢性溃疡的护理〔J〕. 皮肤病与性
病，2017，39（5）：389-390.
〔8〕HAN G，CEILLEY R. Chronic Wound Healing：A Review
of Current Management and Treatments〔J〕. Adv Ther，
2017，34（3）：599-610.
〔9〕FLEISCHMANN W，BECKER U，BISCHOFF M，et al. Vac⁃
uum Sealing：Indication，Technique，and Results〔J〕. Eur J
Orthop Surg Traumatol，1995，5（1）：37-40.
〔10〕范珂. VSD负压引流技术应用于难治性创面治疗的效
果观察〔J〕. 河南外科学杂志，2017，23（4）：43-44.
〔11〕张丹生，李海涛. VSD负压引流术治疗四肢创伤的临床
效果〔J〕. 临床医学研究与实践，2019，4（13）：93-95.
〔12〕郎中亮，王明刚，钟晓红. 慢性创面感染的病原学特点
及持续灌洗负压封闭引流的治疗效果〔J〕. 安徽医学，
2018，39（4）：396-400.

[1]	柏涛，纳强，许丽芬，赵辉，王国著. 持续冲洗联合VSD在旋耕机所致贯通伤中的应用[J]. J4, 2016, 1(4): 46-49.
[2]	胡荣, 胡利君, 董文英. 负压封闭引流技术治疗皮肤软组织缺损的护理[J]. J4, 2011, 10(2): 65-67.