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首页> 外文期刊>The international journal of lower extremity wounds >Vacuum-Assisted Wound Closure Therapy in Pediatric Lower Limb Trauma
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Vacuum-Assisted Wound Closure Therapy in Pediatric Lower Limb Trauma

机译：儿科辅助伤口闭合疗法在儿科下肢体创伤

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Although the importance of vacuum-assisted wound closure therapy has been well established as road to definitive treatment of trauma wound in the adult population, its use in pediatric patients is not well described in the literature. This study was conducted to evaluate the outcome of vacuum-assisted wound closure therapy in pediatric patients. Twenty-two patients were prospectively treated for soft tissue defect in lower limb using vacuum-assisted wound closure device, as these wounds were not amenable for primary closure. After wound evaluation, thorough wound debridement was done. Vacuum-assisted wound closure dressing was applied once hemostasis was achieved. Dressings were changed as per protocol. After the development of healthy granulation tissue, wound coverage was achieved with skin graft or flaps. Mean age of patients was 9.455 years, ranging from 4 to 14 years. Early, healthy granulation tissue had formed in all patients. The average number of vacuum-assisted closure (VAC) dressings required was 2.682. Average duration of VAC therapy was 8.045 days. The sizes of soft tissue defects reduced from an average 69.18 cm(2) to 50.73 cm(2) after VAC therapy with a mean decrease of 26.66%. There was no complication because of VAC therapy. Vacuum-assisted wound closure therapy accelerated the process of healthy granulation tissue formation, and thus shortened the healing time. VAC therapy lessens the morbidity and pain associated with large wounds in pediatric patients and brings cheer and smile in growing children.
机译：尽管真空辅助伤口闭合治疗的重要性已被充分地确定为成年人群中创伤伤口的明确治疗的道路，但其在儿科患者中的使用在文献中没有很好地描述。进行该研究以评估儿科患者真空辅助伤口闭合治疗的结果。使用真空辅助伤口闭合装置预先对下肢进行软组织缺陷进行二十二名患者，因为这些伤口不适合初级封闭。伤口评价后，完成彻底的伤口清除。施用真空辅助伤口闭合敷料一旦实现止血。根据协议改变敷料。在发育健康造粒组织之后，用皮肤移植物或皮瓣实现伤口覆盖。患者的平均年龄为9.455岁，范围从4到14岁。在所有患者中都形成了早期的健康造粒组织。需要的真空辅助闭合（VAC）的平均数量为2.682。 VAC治疗的平均持续时间为8.045天。在VAC治疗后，软组织缺陷的尺寸从平均69.18厘米（2）至50.73cm（2）减少26.66％。由于VAC治疗而没有并发症。真空辅助伤口闭合治疗加速了健康造粒组织形成的过程，从而缩短了愈合时间。 VAC治疗减少了与儿科患者的大型伤口相关的发病率和疼痛，并在种植儿童中带来欢呼和微笑。

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