常规手术加负压吸引疗法治疗慢性下肢静脉溃疡效果观察符琼扬

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《临床用药研究》( ISSN3105-6741、EISSN3105-675X )

发布者：Quest Press

发布日期：2026/1/11

10.12479/questpress-lcyyyj.20250203

Open Access

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常规手术加负压吸引疗法治疗慢性下肢静脉溃疡效果观察

符琼扬

河南中医药大学第五临床医学院（郑州人民医院），河南郑州，450053

摘要：目的：对比不同方法治疗慢性下肢静脉溃疡的效果。方法：将2022年6月至2024年6月在我院接受治疗的100例慢性下肢静脉溃疡患者按照治疗方案的不同随机设置成观察组和对照组，对照组实施常规静脉曲张手术联合清创术，术后实施溃疡面隔天换药处理，而观察组手术治疗方案同对照组，但术后溃疡面持续负压吸引引流7天。将两组患者治疗效果进行对比分析。结果：观察组患者溃疡创面组织炎症因子改善情况明显优于对照组，观察组患者创面疼痛程度比对照组轻，且观察组患者恢复情况优于对照组，（P＜0.05）。结论：负压吸引疗法能够对慢性下肢静脉溃疡创面组织炎症反应产生有效的抑制作用，其能够为患者创面自体皮肤移植提供有利条件。
关健词：手术；负压吸引；慢性下肢静脉溃疡；治疗效果

Observation on the Effect of Conventional Surgery Combined with negative pressure aspiration Therapy in the treatment of Chronic Lower Extremity Venous Ulcers

Qiongyang Fu
The Fifth Clinical Medical College of Henan University of Chinese Medicine/Zhengzhou People's Hospital，450053

Abstract：Objective：To compare the effects of different methods in the treatment of chronic lower extremity venous ulcers. Method：From June 2022 to June 2024，100 patients with chronic lower extremity venous ulcers who were treated in our hospital were randomly divided into the observation group and the control group according to different treatment plans. The control group received conventional varicose vein surgery combined with debridement，and the ulcer surface was treated with dressing change every other day after the operation. The surgical treatment plan of the observation group was the same as that of the control group. However，negative pressure aspiration and drainage were continuously performed on the ulcer surface for 7 days after the operation. The therapeutic effects of the two groups of patients were compared and analyzed. Result：The improvement of inflammatory factors in the ulcer wound tissue of the observation group was significantly better than that of the control group. The degree of wound pain in the observation group was milder than that in the control group，and the recovery of the observation group was better than that of the control group （P < 0.05）. Conclusion：Negative pressure aspiration therapy can effectively inhibit the inflammatory response of chronic lower extremity venous ulcer wound tissues，and it can provide favorable conditions for autologous skin transplantation of patients' wounds.
Keywords : Surgery；Negative pressure suction；Chronic lower extremity venous ulcer；Therapeutic effect

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