Objective:To analyze effect of vacuum assisted closure (VAC) technique combined with debridement and skin grafting in the treatment of gouty stone rupture. Methods:Eighty patients with gouty stone rupture in our hospital from January 2016 to January 2018 were selected anddivided into the observation group and the control group according to random number table method, 40 cases in each group. Patients in the observation group were treated with VAC combined with debridement and skin grafting, while patients in the control group were treated with routine dressing change. The differences of wound healing rate, clinical index, complications and scar condition between the two groups were comparied. Results:After 7 and 14 days of wound treatment, the wound healing rate of the observation group was higher than those of the control group (all P<0.05); the hospitalization, infection control, wound recovery time of the observation group were shorter than those of the control group, and the pain score of numerical rating scale was lower than that of the control group; the occurrence rate of flaps lacunae and skin impregnation in the observation group was significantly lower than those of the control group. The incidence of mild scar of the observation group was significantly higher than that of the control group (P<0.05). Conclusion:VAC technique combined with debridement and skin grafting in the treatment of gouty stone repture has a good therapeutic effect.It could reduce the risk of infection significantly, shortens recovery timeand aesthetic indicators isgood. It is worth promoting. |
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