VSD联合植皮术在深度烧伤中的研究进展

Research Progress on VSD Combined with Skin Grafting in the Treatment of Deep Burns

摘要: 深度烧伤作为严重创伤，会对患者皮肤、组织及全身健康产生极大影响，治疗难度高且面临诸多挑战。VSD联合植皮技术为深度烧伤治疗带来新的突破，成为临床与科研重点关注领域。VSD技术借助负压封闭引流，可有效清除创面渗出物、坏死组织和细菌，改善局部微循环，营造适宜植皮的创面环境，还能促进肉芽组织生长。大量临床研究和实践表明，相较于传统治疗手段，VSD联合植皮技术优势显著，能显著缩短创面愈合时间，降低感染发生率，提升植皮成活率，减少患者换药痛苦与住院时长，在促进患者康复、减轻经济负担方面成效突出。本文全面梳理VSD联合植皮技术在深度烧伤治疗中的原理、操作要点、临床应用效果、优势及面临的挑战，旨在为临床医生提供系统、全面的技术参考，推动该技术在深度烧伤治疗中的规范化、精准化应用，进一步提升深度烧伤的治疗水平，改善患者预后。

Abstract: Deep burns, as a severe form of trauma, exert a significant impact on the patient’s skin, tissues, and overall health. Their treatment is highly challenging and faces numerous difficulties. Vacuum Sealing Drainage (VSD) combined with skin grafting technology has brought a new breakthrough in the treatment of deep burns, becoming a key focus area in both clinical practice and research. VSD technology utilizes negative pressure closed drainage to effectively remove wound exudate, necrotic tissue, and bacteria, improve local microcirculation, create a wound environment conducive to skin grafting, and promote the growth of granulation tissue. Extensive clinical research and practice demonstrate that, compared to traditional treatment methods, VSD combined with skin grafting offers significant advantages. It can markedly shorten wound healing time, reduce the incidence of infection, improve skin graft survival rates, decrease patient suffering during dressing changes, and shorten hospital stays. It demonstrates outstanding efficacy in promoting patient recovery and alleviating economic burden. This article comprehensively reviews the principles, key operational points, clinical application outcomes, advantages, and existing challenges of VSD combined with skin grafting technology in the treatment of deep burns. The aim is to provide clinicians with a systematic and comprehensive technical reference, promote the standardized and precise application of this technology in deep burn treatment, further enhance the therapeutic level for deep burns, and improve patient prognosis.