Abstract：Objective: To discuss the advantages and disadvantages of the two treatment methods, by comparing and analyzing the clinical effects of skin replantation in situ combined with vacuum sealing drainage (VSD) and skin in situ replantation combined with packing skin grafting for the treatment of foot skin avulsion injury. Methods: 50 cases with foot skin avulsion injury were treated with emergency skin in situ replantation combined with VSD technique and in situ replantation combined with skin grafting from January 2011 to September 2016. 25 cases were underwent VSD combined with in situ skin replantation as experimental group, and other 25 cases were accepted the traditional package with in situ skin replantation as control group. The percentage of skin grafting, the rate of wound infection, the rate of subcutaneous hematoma, the time of operation, the length of hospital stay, the number of dressing change and the reoperation rate were observed in two groups. Result: After the emergency operation, the per patient's survival rate of skin graft of VSD group is 97.2±5.97% and the traditional packaging technology group is 87.2±13.61 %.(p＜0.05). The hospitalization time, operative time, and the times of postoperative dressing change of experimental group were significantly shorter than those of control group(p＜0.05). The reoperation rate and the occurrence rates of infection and subcutaneous hematoma of experimental group were lower than those of control group (p＜0.05) . Conclusions: The emergency use of skin in situ replantation in situ skin with VSD suction treatment of foot skin avulsion injury compared to traditional replantation combined with packing pressure method, can improve the individual patients with skin graft survival percentage, reduce the skin wound infection and subcutaneous hematoma rate, reduce the probability the second stage operation to repair and reduce the need to repair the wound area, shorten the operation time, hospitalization time, dressing change times.
王伟, 潘朝晖, 赵玉祥. 负压封闭引流与传统的打包加压技术在治疗足部皮肤撕脱伤中的临床效果比较[J]. 河北医学, 2017, 23(7): 1113-1117.
WANG Wei, PAN Zhaohui, ZHAO Yuxiang. Comparison of Clinical Effects of Vacuum Sealing Drainage and Traditional Packing and Compression Techniques in the Treatment of Foot Skin Avulsion. HeBei Med, 2017, 23(7): 1113-1117.
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2017, Vol. 23 
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