通过慢性伤口的负压疗法支持皮肤移植:系统性审查
M Gamel1, M Gael1, A C Bursztejn1
1Dermatology, Batiment P Canton, Centre Hospitalier Universitaire de Nancy, Vandoeuvre les Nancy, France.
概括
负压伤疗法 (NPWT) 显著改善了慢性的皮肤移植成功率,显示了高的移植吸收率和恢复率. 建议短期使用NPWT (不到一周),以获得最佳的慢性伤口治疗结果.
科学领域:
- 伤口的愈合
- 复原医学
- 皮肤病学
背景情况:
- 慢性在患者护理方面面临重大挑战,
- 皮肤移植失败是一个主要问题,尽管负压伤口治疗 (NPWT) 在急性伤口环境中具有已知的好处.
研究的目的:
- 系统地审查负压伤疗法 (NPWT) 提高慢性的皮肤移植存活率.
主要方法:
- 在PUBMED,COCHRANE和EMBASE数据库中进行了系统的文献审查.
- 包括的研究重点是使用NPWT治疗慢性伤口的皮肤移植,不包括急性,烧伤或术后病例.
- 数据提取包括患者人口统计,伤口特征,NPWT参数和移植结果.
主要成果:
- 分析了186名患者的21篇文章,平均移植率为92%.
- 77%的患者实现了≥90%的移植,其中33%达到≥95%.
- 平均73天内79%的患者完全康复;平均197天后38%的患者没有复发.
结论:
- 负压伤疗法 (NPWT) 在改善慢性的皮肤移植存活率方面显示出显著的益处.
- NPWT具有优异的安全性和耐受性,建议短期使用 (少于一周).
- 在治疗慢性时,NPWT应被视为首选的皮肤移植方法.
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