改良负压封闭引流术在游离皮瓣修复术后供区植皮中的应用

doi:10.19438/j.cjoms.2021.02.012

中国口腔颌面外科杂志 ›› 2021, Vol. 19 ›› Issue (2): 163-166.doi: 10.19438/j.cjoms.2021.02.012

改良负压封闭引流术在游离皮瓣修复术后供区植皮中的应用

姚麟, 郭萌萌, 邓璋, 曾威

梅州市人民医院口腔颌面外科,广东梅州 514031

收稿日期:2020-04-28 修回日期:2020-08-21 出版日期:2021-03-20 发布日期:2021-05-11
通讯作者: 曾威,E-mail:13719999837@163.com
作者简介:姚麟（1988-）,男,本科,主治医师,E-mail:214054397@qq.com

Application of modified vacuum sealing drainage in reconstruction of free flap donor-site defects with full-thickness skin graft

YAO Lin, GUO Meng-meng, DENG Zhang, ZENG Wei

Department of Oral and Maxillofacial Surgery, Meizhou People's Hospital. Meizhou 514031, Guangdong Province, China

Received:2020-04-28 Revised:2020-08-21 Online:2021-03-20 Published:2021-05-11

摘要/Abstract

摘要： 目的探讨改良负压封闭引流术（vacuum sealing drainage,VSD）在口腔癌患者游离皮瓣修复术后供区植皮中的应用效果。方法选择50例口腔癌游离皮瓣修复患者,其中30例采用改良VSD法进行供区植皮后处理,20例患者进行常规加压包扎法处理。采用SPSS 22.0软件包对数据进行统计学分析。结果改良VSD 组植皮术后愈合时间较加压包扎组明显缩短,供区愈合时间、并发症发生率较加压包扎组显著降低（P<0.05）。结论改良VSD在口腔癌游离皮瓣修复术后供区植皮效果良好,性价比高,值得在临床上应用推广。

关键词: 改良负压封闭引流术, 游离皮瓣, 植皮, 口腔癌

Abstract: PURPOSE: To investigate the application value of modified vacuum sealing drainage (VSD) in free flap donor-site defects with full-thickness skin graft in patients with oral cancer. METHODS: Thirty patients with oral cancer underwent free flap reconstruction and treated with modified VSD after full-thickness skin graft, while 20 cases were treated with conventional pressure-packing. SPSS 20.0 software package was used for statistical analysis of the data. RESULTS: The healing time after skin graft of the modified VSD group was significantly shorter than the traditional packing group, and the incidence of infection, edema and wound edge spliting in the modified VSD group was significantly reduced (P<0.05). CONCLUSIONS: Modified VSD has a good effect in the donor area with free skin flap transplantation after oral cancer ablation. It is cost-effective and worthy of clinical application and promotion.

Key words: Modified vacuum sealing drainage, Free flap, Skin graft, Oral cancer

中图分类号:

R782.2

姚麟, 郭萌萌, 邓璋, 曾威. 改良负压封闭引流术在游离皮瓣修复术后供区植皮中的应用[J]. 中国口腔颌面外科杂志, 2021, 19(2): 163-166.

YAO Lin, GUO Meng-meng, DENG Zhang, ZENG Wei. Application of modified vacuum sealing drainage in reconstruction of free flap donor-site defects with full-thickness skin graft[J]. China J Oral Maxillofac Surg, 2021, 19(2): 163-166.

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改良负压封闭引流术在游离皮瓣修复术后供区植皮中的应用

Application of modified vacuum sealing drainage in reconstruction of free flap donor-site defects with full-thickness skin graft

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