负压伤口疗法的有效性在静脉门倒置后的伤口愈合:一项随机对照研究
1Department of Surgery, Yeungnam University Medical Center, Yeungnam Uiversity College of Medicine, Daegu, Korea.
负压伤口疗法 (NPWT) 显著缩短了用袋绳关闭 (PSC) 关闭的口腔逆转部位的愈合时间. 这种方法可以缩短愈合时间,而不会增加手术部位感染或成本.
科学领域:
- 手术伤口愈合 手术伤口愈合
- 医疗器械技术 医疗器械技术
- 临床研究 临床研究
背景情况:
- 皮囊链闭合 (PSC) 用于皮肤闭合后的口腔逆转,以减轻手术部位感染 (SSI).
- 然而,PSC通常会导致与初级关闭方法相比,伤口愈合的时间较长.
- 负压伤口治疗 (NPWT) 已证明在加速各种伤口类型的愈合方面具有有效性.
研究的目的:
- 为了评估NPWT在促进囊链关闭 (PSC) 后伤口愈合的疗效.
- 为了比较NPWT和标准包裹之间的伤口愈合持续时间,在PSC后进行静脉栓逆转.
- 评估二次结果,包括手术部位感染,住院和痕评估.
主要方法:
- 这是一项随机对照试验,涉及36名接受静脉静脉逆转手术的患者.
- 在手术后,患者被分配到NPWT或简单的连衣组.
- 主要结局是完整的伤口愈合期;次要结局包括SSI,住院,成本和痕评估 (POSAS).
主要成果:
- 与对照组 (21.5天) 相比,NPWT组的中位创伤愈合期明显较短 (17.5天) (P = 0.006).
- 两组之间SSI率或住院时间没有显著差异.
- 在NPWT组需要更少的包装 (5对17,P<0.001),与可比的总包装成本.
结论:
- 在PSC后使用NPWT治疗以逆转口腔,有效地缩短了伤口愈合时间.
- 使用NPWT不会导致手术部位感染或整体成本的增加.
- NPWT为加速口腔逆转患者的伤口愈合提供了一个可行的选择.
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