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目的探讨封闭式负压引流加自体皮片移植治疗糖尿病足的效果。方法对16例有皮肤或软组织缺损的糖尿病足患者进行有效清创,采用封闭式负压引流控制感染,促进肉芽生长;7~21 d后,在创面上行二期游离移植刃厚或中厚自体皮片修复创面。结果 16例患者足部创面肉芽生长新鲜,移植皮片后创面修复;13例植皮全部成活,3例大部分成活,常规换药后伤口愈合。治疗周期(26.6±3.1)d。结论封闭式负压引流能有效地控制感染,促进肉芽生长,再结合自体皮片移植能够较好地修复糖尿病足创面。
Objective To investigate the effect of closed negative pressure drainage combined with autologous skin grafting in the treatment of diabetic foot. Methods Sixteen patients with diabetic foot with skin or soft tissue defect were effectively debrided, and closed negative pressure drainage was used to control the infection to promote the growth of granulation. After 7 to 21 days, the second-stage free-transplantation blade thickness or medium thickness Skin repair wounds. Results In 16 cases, the wounds on the foot wound grew freshly and the wounds were repaired after the skin grafts were implanted. Thirteen skin grafts survived and most of the three survived. The wounds were healed after routine dressing changes. Treatment cycle (26.6 ± 3.1) d. Conclusion Closed negative pressure drainage can effectively control the infection and promote the growth of granulation, and combined with autologous skin grafting can better repair diabetic foot wounds.