自体富血小板血浆在脂肪肉瘤切除术后顽固性创面修复中的应用
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1.潍坊医学院附属医院;2.潍坊医学院;3.解放军80集团军医院

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Repair of stubborn wounds after liposarcoma resection with autologous platelet rich plasma
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1.Weifang Medical University;2.80th Group Military Hospital of the Army

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    摘要:

    摘要:[目的] 评价自体富血小板血浆(Platelet-rich plasma,PRP)在脂肪肉瘤切除术后顽固性创面修复中的应用效果。[方法] 2017年1月至2021年10月在我院治疗12例脂肪肉瘤切除术后顽固性创面患者资料。其中男5例,女7例,年龄43~65岁。术前创面面积为2.5 cm × 2.0 cm~7.5 cm × 3.7 cm,深度2.0cm~4.8cm。病程20~52天,平均(34.0±10.6)天。制作PRP 10~40 ml。注射PRP 1~2次完全填充缺损,Ⅰ期缝合创面。术后行B超检查,明确深部间隙愈合情况。术后及随访观察患者伤口肉芽组织的生长情况、伤口愈合情况。[结果] 10例患者创面Ⅰ期愈合,2例患者经二次清创,二次自体PRP填充后,联合VSD持续负压引流,均于2周后创面愈合。所有患者伤口均愈合较好,外观良好,无窦道形成。[结论] PRP治疗脂肪肉瘤切除术后顽固性创面修复具有操作简单安全、可充分填充深部间隙、创面愈合可靠的优点,是修复脂肪肉瘤切除术后顽固性创面的良好方法。

    Abstract:

    Abstract: [Objective] To evaluate the application effect of autologous platelet rich plasma (PRP) in the repair of stubborn wounds after liposarcoma resection. [Method] From January 2017 to October 2021, 12 patients with stubborn wounds after liposarcoma resection were treated in our hospital. Among them, there are 5 males and 7 females, aged 43-65 years old. The preoperative wound area is 2.5 cm × 2.0 cm~7.5 cm × 3.7 cm, depth 2.0 cm~4.8 cm. The course of the disease is 20-52 days, with an average of (34.0 ± 10.6) days. Prepare 10 to 40 ml of PRP. Inject PRP 1-2 times to completely fill the defect, and suture the wound in Phase I. Postoperative B-ultrasound examination was performed to determine the healing status of the deep space. Postoperative and follow-up observation of the growth of granulation tissue and wound healing in patients. [Result] 10 patients had primary wound healing, and 2 patients underwent secondary debridement, secondary autologous PRP filling, and continuous negative pressure drainage with VSD. The wounds healed 2 weeks later. All patients had good wound healing, good appearance, and no sinus formation. [Conclusion] PRP treatment for stubborn wound repair after liposarcoma resection has the advantages of simple and safe operation, sufficient filling of deep gaps, and reliable wound healing. It is a good method for repairing stubborn wounds after liposarcoma resection.

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  • 收稿日期:2023-05-18
  • 最后修改日期:2023-05-18
  • 录用日期:2023-06-01
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