目的 探讨负压封闭引流技术结合肌瓣转移游离植皮在难愈性创面修复中对患者疼痛及外观满意度影响。方法 选取2022年1月—2024年3月龙岩市第二医院收治的88例难愈性创面修复患者为研究对象,按入院治疗顺序分为观察组与对照组,每组各44例。给予对照组患者单纯负压封闭引流技术治疗,给予观察组患者负压封闭引流技术与肌瓣转移游离植皮联合治疗,记录两组患者研究期间数据资料后对比分析各治疗方式临床应用价值。结果 观察组患者治疗期间各指标情况均优于对照组（P<0.05）,观察组治疗后1、3、7 d创面疼痛评分较对照组下降（P<0.05）,相比于对照组,观察组外观总体满意度较高（P<0.05）。结论 难愈性创面修复患者联合负压封闭引流技术、肌瓣转移游离植皮处理可改善临床指标,促进创面愈合,降低临床疼痛,同时提高外观满意度。

Objective To explore the impact of vacuum sealing drainage technology combined with muscle flap transfer and free skin grafting on the pain and appearance satisfaction of patients in the repair of refractory wounds. Methods A total of 88 patients with refractory wound repair admitted to the Second Hospital of Longyan from January 2022 to March 2024 were selected as research subjects. They were divided into an observation group and a control group according to the order of admission, with 44 patients in each group. Patients in the control group were treated with simple vaccum sealing drainage technology, while patients in the observation group were treated with a combination of vaccum sealing drainage technology, muscle flap transfer, and free skin grafting. After recording the data of the two groups during the study period, the clinical application value of each treatment method was compared and analyzed. Results During the treatment period, all indicators of the observation group were better than those of the control group （P<0.05）. The wound pain score of the observation group 1,3,7 d after treatment decreased compared to the control group （P<0.05）. Compared with the control group, the overall satisfaction with the appearance of the observation group increased （P<0.05）. Conclusion The combination of vaccum sealing drainage technology and free skin grafting with muscle flap transfer can improve clinical indicators, promote wound healing, reduce clinical pain, and increase appearance satisfaction in patients with refractory wound repair.