目的:分析封闭负压引流技术在先天性并指分指植皮术中的应用效果.方法:对纳入的12例(16只手)并指畸形患儿,随机分为实验组与对照组,每组8只手.两组患儿均行并指分指、指璞重建、取皮植皮术,实验组采用封闭负压引流固定,对照组采用打包缝合固定,术后10d分析、比较两组患儿的皮片坏死率.结果:实验组患儿移植皮片成活较好,皮片坏死率为1.82%;对照组移植皮片出现部分成活不良或坏死,皮片坏死率为12.05%,组间比较差异有统计学意义(P<0.05).结论:在先天性并指分指植皮手术中,采用封闭负压引流技术是一种较为理想的包扎固定方式,值得临床推广应用.%Objective To analysis of vacuum sealing drainage for skin graft in patients with congenital syndactyly of the hand. Methods 12 children(16 hands) with congenital syndactyly of the hand were randomly divided into the experimental group and the control group, 8 hands in each group. All children required for digits separation, web space reconstruction and skin grafting. The experimental group received vacuum sealing drainage, while the control group received tie-over bolster dressing. We analyzed and compared the necrosis rate of skin graft in the two groups 10 days postoperatively. Results The skin graft of the children in the experimental group survived well, and the necrosis rate of skin graft was 1.82%. The skin graft in the control group appeared to be defective or necrotic, and the necrosis rate of skin graft was 12.05%.The necrosis rate was lower in the experimental group than that of the control group, and the difference was statistically significant(P<0.05). Conclusion Vacuum sealing drainage is a good choice for skin graft in patients with congenital syndactyly of the hand and worth popularizing in the clinical speciality.
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