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截瘫后压疮由于创面局部血运、营养较差,创面感染严重,并伴有筋膜、骨质等深部组织外露,因而长期迁延不愈,严重影响患者生活质量[1-2]。负压引流技术(VSD)对于感染性创面治疗效果较好[3-4],已广泛应用于临床。2009年5月—2011年6月,我们对截瘫后压疮15例,经全身支持、局部清创换药后采用局部皮瓣移植联合VSD治疗,效果满意。现分析报告如下。1临床资料1.1一般情况选择截瘫后压疮15例,男13例,女2例;年龄25～65岁,平均42.5岁。其中,车祸所致
After paraplegia, pressure ulcers due to wound local blood supply, poor nutrition, severe wound infection, accompanied by fascia, bone and other deep tissue exposure, which prolonged unhealed, seriously affecting the quality of life of patients [1-2]. Negative pressure drainage technology (VSD) for the treatment of infectious wounds better [3-4], has been widely used in clinical. From May 2009 to June 2011, 15 patients with pressure ulcer after paraplegia were treated with local skin flap transplantation combined with VSD after systemic debridement and dressing, with satisfactory results. The analysis report is as follows. 1 Clinical data 1.1 General situation Select paraplegia pressure ulcer in 15 cases, 13 males and 2 females; aged 25 to 65 years, mean 42.5 years old. Among them, caused by a car accident