可调节负压技术(RNPT)临床应用荟萃及“向南”推广分析
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摘要
可调节负压技术最近十几年来在医疗领域被广泛应用,是科技与医疗结合的典范,尤其是负压治疗技术在创面修复领域的显著效果已被国内外广泛认可,逐渐被应用到医疗的各个领域。近年来,我院将负压技术广泛地应用到普外、骨科、烧伤整形等专业领域,如骨科开放性难愈性创面、腹部感染切口开裂创面、肠瘘创面、肝脏巨大囊肿治疗、肝包虫术后残腔胆漏等方面,均进行了临床实践,取得了较好的效果,积累了相应的临床经验,本文针对可调节负压技术的临床应用进行荟萃,为进一步将该技术向南疆推广进行探讨和分析。
Regulated negative pressure technology(RNPT) has been widely used in the medical field in recent decades, and it is a model of combining science and technology with medical treatment,especially the significant effect of RNPT in the field of wound repair,which has been widely recognized at home and abroad,and has been gradually applied to various fields of medical treatments.In recent years, our hospital is widely applied RNPT to the general,orthopedic,burns,plastic and other professional fields,such as orthopaedic open refractory wounds,dehisced abdominal incision infection wound,intestinal fistula wound,huge liver cyst,postoperative residual cavity bile leakage of the hydatid disease,et al.All of them have been carried out clinical practice and achieved good results.The corresponding clinical experience has been accumulated.In order to further promote the technology to Southern Xinjiang, discussion and analysis have been carried out.
Regulated negative pressure technology(RNPT) has been widely used in the medical field in recent decades, and it is a model of combining science and technology with medical treatment,especially the significant effect of RNPT in the field of wound repair,which has been widely recognized at home and abroad,and has been gradually applied to various fields of medical treatments.In recent years, our hospital is widely applied RNPT to the general,orthopedic,burns,plastic and other professional fields,such as orthopaedic open refractory wounds,dehisced abdominal incision infection wound,intestinal fistula wound,huge liver cyst,postoperative residual cavity bile leakage of the hydatid disease,et al.All of them have been carried out clinical practice and achieved good results.The corresponding clinical experience has been accumulated.In order to further promote the technology to Southern Xinjiang, discussion and analysis have been carried out.
引文
[1] Moues CM,Vos MC,Vanden Bemd G,et al.Bacterial load in relation to vacuum-assisted closure wound therapy:A prospective randomized trial[J].Wound Repair Regen,2004,12:11-17
[2] Wagner S,Coerper S,Fricke J,et al.Comparison of inflammatory and systemic sources of growth factors in acute and chronic human wounds[J].Wound Repair Regen,2003,11:253-60
[3] Roderick Kong,David Shields,Oliver Bailey,et al.Negative Pressure Wound Therapy for Closed Surgical Wounds in Musculoskeletal Oncology Patients-A Case Control Trial[J].Open Orthop J,2017,11:502–507
[4] Buchholz J,Mollenhoff G,Reckert M,et al.Chronic venous insufficiency after open tibial fracture,An underestimated problem[J].Chirurg,2000,71:1115-1120
[5] Zhang Hongwei,Wang Chaoyang,Sun Jianhua,et al.Regulated Negative Pressure Wound Therapy(RNPT)Combined Topclosure in the Treatment of Skin Defect for Open Fracture in Lower Extremity[J].Ann Orthop Rheumatol,2017,(1):1079
[6] Moris Topaz,Narin-Nard Carmel,Adi Silberman,et al.The Top Closure 3S System,for skin stretching and a secure wound closure[J].Eur J Plast Surg,2017,35:533-543
[7]裘华德,宋九宏.负压封闭吸引技术[M].北京:人民卫生出版社,2008:2-5
[8]中华医学会精神科学会.中国精神疾病分类方案与诊断标准[M].南京:东南大学出版社,1995:30
[9]韩曙光,黄铁熬,李向利.自制封闭式持续负压吸引治疗腹部切口感染[J].实用临床医学,2014,5(9):41-43
[10] Whelan Jr JF,Ivatury RR.Enterocutaneous fistulas:an overview[J].European Journal of Trauma and Emergency Surgery,2011,37(3):251-258
[11] Fleischmann W,Strecker W,Bombelli M,et al.Vacuum sealing as treatment of soft tissue damage in open fractures[J].Der Unfallchirurg,1993,96(9):488-492
[12] Glass GE,Murphy GRF,Nanchahal J.Does negative-pressure wound therapy influence subjacent bacterial growth?A systematic review[J].J Plast Reconstr Aesthet Surg,2017,70(8):1028-1037
[13]宋其同,周宏众,施红旗,等.老年人巨大肝囊肿的外科治疗[J].温州医学院学报,2004(06):470-471
[14] Lee SH.Surgical management of enterocutaneous fistula[J].Korean journal of radiology,2012,13(Suppl 1):S17-S20
[15] Latifi R,Gustafson M.Abdominal wall reconstruction in patients with enterocutaneous fistulas[J]. Eur J Trauma Emerg Surg,2011,37(3):241-250
[16] Alvarez AA,Maxwell GL,Rodriguez GC.Vacuum-assisted closure for cutaneous gastrointestinal fistula management[J].Gynecologic oncology,2001,80(3):413-416
[17] Lloyd DAJ,Gabe SM,Windsor ACJ.Nutrition and management of enterocutaneous fistula[J].Br J Surg,2006,93(9):1045-1055
[18] Whelan Jr JF,Ivatury RR.Enterocutaneous fistulas:an overview[J].Eur J Trauma Emerg Surg,2011,37(3):251-258
[19]万静雯,彭菁.负压封闭引流技术在创伤外科中的应用[J].现代护理,2007,13(9):860-861
[20] Campton-Johnston S,Wilson J.Infected wound management:advanced technologies,moisture-retentive dressings and die-hard methods[J].Crit Care Nurs Q,2001,24(2):64-77
[21] Gwan-Nulla DN,Casal RS.Toxic shock syndrome associated with the use of the vacuum-assisted closure device[J].Ann Plast Surg,2001,47:552–554
[22]赵万秋,钱火红,张秀琼.外科创面封闭式负压引流的应用研究现状[J].解放军护理杂志,2007,24(3):48-49
[2] Wagner S,Coerper S,Fricke J,et al.Comparison of inflammatory and systemic sources of growth factors in acute and chronic human wounds[J].Wound Repair Regen,2003,11:253-60
[3] Roderick Kong,David Shields,Oliver Bailey,et al.Negative Pressure Wound Therapy for Closed Surgical Wounds in Musculoskeletal Oncology Patients-A Case Control Trial[J].Open Orthop J,2017,11:502–507
[4] Buchholz J,Mollenhoff G,Reckert M,et al.Chronic venous insufficiency after open tibial fracture,An underestimated problem[J].Chirurg,2000,71:1115-1120
[5] Zhang Hongwei,Wang Chaoyang,Sun Jianhua,et al.Regulated Negative Pressure Wound Therapy(RNPT)Combined Topclosure in the Treatment of Skin Defect for Open Fracture in Lower Extremity[J].Ann Orthop Rheumatol,2017,(1):1079
[6] Moris Topaz,Narin-Nard Carmel,Adi Silberman,et al.The Top Closure 3S System,for skin stretching and a secure wound closure[J].Eur J Plast Surg,2017,35:533-543
[7]裘华德,宋九宏.负压封闭吸引技术[M].北京:人民卫生出版社,2008:2-5
[8]中华医学会精神科学会.中国精神疾病分类方案与诊断标准[M].南京:东南大学出版社,1995:30
[9]韩曙光,黄铁熬,李向利.自制封闭式持续负压吸引治疗腹部切口感染[J].实用临床医学,2014,5(9):41-43
[10] Whelan Jr JF,Ivatury RR.Enterocutaneous fistulas:an overview[J].European Journal of Trauma and Emergency Surgery,2011,37(3):251-258
[11] Fleischmann W,Strecker W,Bombelli M,et al.Vacuum sealing as treatment of soft tissue damage in open fractures[J].Der Unfallchirurg,1993,96(9):488-492
[12] Glass GE,Murphy GRF,Nanchahal J.Does negative-pressure wound therapy influence subjacent bacterial growth?A systematic review[J].J Plast Reconstr Aesthet Surg,2017,70(8):1028-1037
[13]宋其同,周宏众,施红旗,等.老年人巨大肝囊肿的外科治疗[J].温州医学院学报,2004(06):470-471
[14] Lee SH.Surgical management of enterocutaneous fistula[J].Korean journal of radiology,2012,13(Suppl 1):S17-S20
[15] Latifi R,Gustafson M.Abdominal wall reconstruction in patients with enterocutaneous fistulas[J]. Eur J Trauma Emerg Surg,2011,37(3):241-250
[16] Alvarez AA,Maxwell GL,Rodriguez GC.Vacuum-assisted closure for cutaneous gastrointestinal fistula management[J].Gynecologic oncology,2001,80(3):413-416
[17] Lloyd DAJ,Gabe SM,Windsor ACJ.Nutrition and management of enterocutaneous fistula[J].Br J Surg,2006,93(9):1045-1055
[18] Whelan Jr JF,Ivatury RR.Enterocutaneous fistulas:an overview[J].Eur J Trauma Emerg Surg,2011,37(3):251-258
[19]万静雯,彭菁.负压封闭引流技术在创伤外科中的应用[J].现代护理,2007,13(9):860-861
[20] Campton-Johnston S,Wilson J.Infected wound management:advanced technologies,moisture-retentive dressings and die-hard methods[J].Crit Care Nurs Q,2001,24(2):64-77
[21] Gwan-Nulla DN,Casal RS.Toxic shock syndrome associated with the use of the vacuum-assisted closure device[J].Ann Plast Surg,2001,47:552–554
[22]赵万秋,钱火红,张秀琼.外科创面封闭式负压引流的应用研究现状[J].解放军护理杂志,2007,24(3):48-49