临床外科杂志 ›› 2022, Vol. 30 ›› Issue (8): 749-751.doi: 10.3969/j.issn.1005-6483.2022.08.014

• 论著 • 上一篇    下一篇

负压封闭引流在胸壁结核病灶清除术后伤口愈合不良中的应用分析

  

  1. 050041 石家庄,河北省胸科医院胸外三科
  • 收稿日期:2021-09-02 接受日期:2021-09-02 出版日期:2022-08-20 发布日期:2022-08-20
  • 通讯作者: 魏兰,Email:fengyunguoke@126.com

The study of vacuum sealing drainage(VSD) in the wound healing after thoracic tuberculosis surgery

  1. Department of Thoracic Surgery,Hebei Chest Hospital,Shijiazhuang 050041,China
  • Received:2021-09-02 Accepted:2021-09-02 Online:2022-08-20 Published:2022-08-20

摘要: 目的 探讨应用负压封闭引流(vacuum sealing drainage,VSD)治疗胸壁结核病灶清除术后伤口愈合不良病人的临床疗效。方法 选取2014年1月~2021年5月我院行胸壁结核病灶清除术后伤口愈合不良的病人40例,按数字表格法随机分为观察组和对照组,每组各20例,观察组接受VSD治疗,对照组接受普通外科换药治疗。比较两组在换药疼痛感知、换药用时、7天后愈合评价、伤口可二次缝合时间、住院时间的差异。结果 观察组换药疼痛感知为(3.27±0.80),对照组为(5.67±0.72);观察组换药时间为(5.33±14.08)分钟,对照组为(22.07±2.52)分钟;观察可二次缝合时间为(14.06±2.14)天,对照组为(23.14±3.38)天;观察组住院时间为(23.80±2.81)天,对照组为(35.73±4.43)天;观察组7天后愈合评价有效17例,对照组有效10例。两组比较差异均有统计学意义(P<0.05)。结论 应用VSD治疗胸壁结核病灶清除术后伤口愈合不良效果显著。

关键词: 负压封闭引流, 胸壁结核病灶清除术, 伤口, 愈合

Abstract: Objective To investigate the clinical efficacy of vacuum sealing drainage(VSD) in the treatment of postoperative wound healing of chest wall tuberculosis.Methods From January 2014 to may 2021,40 patients with poor wound healing after chest wall tuberculosis debridement in Hebei chest hospital were selected and randomly divided into observation group and control group,with 20 patients in each group.The observation group was treated with vacuum sealing drainage,and the control group was treated with general surgical dressing changeThe differences of pain perception,dressing time,healing evaluation after 7 days,secondary suture time and hospitalization time between the two groups were compared.Results The pain perception of dressing change was (3.27±0.80 )in the observation group and (5.67±0.72 )in the control group.There was significant difference between the two groups(P<0.05);The dressing change time was (5.33±14.08) minutes in the observation group and (22.07±2.52) minutes in the control group.There was significant difference between the two groups(P<0.05).The second suturing time of the wound was (14.06±2.14) days in the observation group and (23.14±3.38) days in the control group,which was statistically significant(P<0.05);the length of hospital stay was(23.80±2.81) days in the observation group and (35.73±4.43) days in the control group,which was statistically significant(P<0.05);there were 17 patients in the observation group and 10 patients in the control group(P<0.05).Conclusion The application of VSD in the treatment of chest wall tuberculosis,promote wound healing effect is significant.

Key words: vacuum sealing drainage, chest wall tuberculosis operation, wound , healing

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