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研究背景
随着工业及交通行业的快速发展，皮肤撕脱伤患者日益增多；交通事故中的碾压伤、机器卷轧伤等多伴有软组织压挫伤和牵拉伤；严重者伴有肌腱及骨外露、血管神经损伤，是较为严重和复杂的创伤，以往多采用常规清创后撕脱组织直接回植的治疗方法，易发生细菌感染导致撕脱皮瓣坏死；而采用撕脱皮瓣全部切除反取皮回植的方法，有效提高了创面愈合率。
目的
观察水动力清创系统结合封闭式负压引流技术（VSD）治疗皮肤撕脱伤创面的疗效。
研究方法
回顾性分析2016年6月～2018年10月我科收治的36例皮肤撕脱伤患者治疗效果，按治疗方式分为水刀组和清创组，水刀组采用水动力系统清创，清创组采用传统清创，两组清创后均用中厚网状皮片移植，联合VSD治疗，比较两组首次术后7d创面细菌阳性率、植皮成活率、皮瓣成活率、二次植皮率、创面愈合时间。
结果
水刀组患者创面植皮区首次术后7d植皮成活率、皮瓣成活率明显高于清创组，创面细菌培养阳性率明显低于清创组；测量两组清创后保留的撕脱皮瓣：水刀组保留撕脱皮瓣多；创面植皮区水刀组创面愈合时间、二次植皮率显著少于清创组，两组差异有统计学意义（P ＜ 0.05）（见表1）
结论
本研究初步表明，皮肤撕脱伤创面植皮区应用清创水刀联合VSD，有效增加撕脱伤创面一期植皮成活率，减少创面感染，加快创面愈合，缩短了患者住院时间；同时最大限度保留创面有活力组织，减少创面基底重要组织暴露，减少皮瓣、皮片供区的破坏，改善预后。
参考文献：
洪武,李少峰.清创水刀联合封闭式负压引流治疗皮肤撕脱伤[J].中国医药科学2020年6月第10卷第11期.
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做生意不能酒香不怕巷子深，很多时侯都需要考虑策划一些营销让利活动让门店客流、销售得到提升，那么，营销让利之后门店还有钱赚吗？ 大多时侯，门店都会通过营销让利的活动来吸引更多的来客和…
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备战双十一丨今年淘宝直播的新风口，到底是什么？
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在经历了618和平蓄期之后，各大商家都对双十一充满了期待。以淘系为例，在618期间，淘宝直播成交额破亿的账号高达32个，成交额超过千万的直播间也达到了434个，另外，在618期间，…
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