预防性负压伤口治疗,以改善结节切开术后的伤口愈合率:一项随机对照试验
Thomas Tiang1, Corina Behrenbruch1,2, Jawed Noori1
1Department of Colorectal Surgery, St Vincent's Hospital Melbourne, Fitzroy, Victoria, Australia.
负压伤口治疗 (NPWT) 与简单的带相比,并没有显著提高伤口愈合率. 这项研究发现,这两种伤口护理方法在愈合,化或感染方面没有差异.
科学领域:
- 外科手术的结果
- 伤口愈合研究研究研究.
- 医疗器械的有效性 医疗器械的有效性
背景情况:
- 脊髓切除术逆转可以导致诸如伤口感染和延迟愈合等并发症.
- 负压伤口治疗 (NPWT) 显示了通过二次意图加速伤口愈合的前景.
- 这项研究调查了NPWT在使用袋绳 sutures的乳头缩术逆转伤口关闭中的有效性.
研究的目的:
- 为了比较NPWT的疗效与简单的伤口合剂,用于经过结肠切除术逆转后的伤口愈合.
- 评估NPWT对伤口愈合率,患者报告的Cosmesis和手术部位感染 (SSI) 率的影响.
主要方法:
- 进行了一项双中心,开放标签,随机对照试验.
- 40名接受选择性环结节切除术逆转治疗的患者被随机分配1:1到NPWT或简单的伤口带.
- 主要结局是手术后42天完整的伤口愈合.
主要成果:
- 47.36%的患者使用简单带观察到伤口愈合,与68.42%的NPWT患者相比 (P=0.188).
- 在NPWT和简单包裹组之间的伤口愈合率没有发现统计学上显著的差异.
- 患者报告的化和手术部位感染率在两组之间没有显著差异.
结论:
- NPWT没有显示出与简单的伤口合剂相比,在带囊链关闭的骨髓切除术逆转患者中,对伤口愈合的显著优势.
- 该研究发现,NPWT和早期和晚期的简单带之间在愈合率,宇宙或SSI上没有差异.
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