CAJ | 학술논문

目的探讨间歇负压引流技术在治疗软组织撕脱伤早期治疗中的重要作用.方法选取2009年3月至2010年6月四肢开放软组织损伤清创治疗后软组织缺损患者82例,分为间歇负压吸引组和持续负压吸引组,间歇负压吸引组56例,男47例,女9例;年龄平均37.5岁(16～65岁);持续负压吸引组26例,男21例,女5例;年龄平均33.5岁(25～58岁);两组均为GustiloⅢ型开放损伤.负压吸引使用时间平均为2.5周(1～4周),期间每周更换一次负压吸引的敷料,观察肉芽生长情况.结果两组患者经过不同时间的吸引治疗后,肉芽创面干燥,无皮肤覆盖组织肉芽生长新鲜,未出现深部感染.间歇负压吸引组创面愈合时间平均为(32±4.5)d,持续负压吸引组创面愈合时间平均为(37±7.5)d,P=0.09,两组创面愈合时间差异无统计学意义(P＞0.05).结论间歇负压引流技术是软组织缺损早期治疗的有效措施之一,减轻医务人员工作量,患者痛苦减轻.
목적 탐토간헐부압인류기술재치료연조직시탈상조기치료중적중요작용.방법 선취2009년3월지2010년6월사지개방연조직손상청창치료후연조직결손환자82례,분위간헐부압흡인조화지속부압흡인조,간헐부압흡인조56례,남47례,녀9례;년령평균37.5세(16～65세);지속부압흡인조26례,남21례,녀5례;년령평균33.5세(25～58세);량조균위GustiloⅢ형개방손상.부압흡인사용시간평균위2.5주(1～4주),기간매주경환일차부압흡인적부료,관찰육아생장정황.결과 량조환자경과불동시간적흡인치료후,육아창면간조,무피부복개조직육아생장신선,미출현심부감염.간헐부압흡인조창면유합시간평균위(32±4.5)d,지속부압흡인조창면유합시간평균위(37±7.5)d,P=0.09,량조창면유합시간차이무통계학의의(P＞0.05).결론 간헐부압인류기술시연조직결손조기치료적유효조시지일,감경의무인원공작량,환자통고감경.
Objective To evaluate the early clinical efficacy of large soft-tissue wounds with intermittent vacuum sealing drainage. Methods From March 2009 to June 2010, the study group was comprised of 56 patients treated with intermittent vacuum sealing drainage. There were 47 males and 9 females with a mean age of 37. 5 years (range: 16 -65 ). Intermittent vacuum sealing drainage was immediately used after an emergency operation. The mean duration of treatment was 2. 5 weeks ( range: 1 -4). The granulation status was observed and wound dressing changed weekly. Results Among them, all wound surfaces were dry and granulation tissues brightly red. There was no deep infection. The mean healing durations of intermittent and continuous vacuum sealing drainage groups were( 32 ± 4. 5 )and( 37 ± 7.5 )days respectively. And there was no statistical difference (P ＞0. 05). Conclusion Intermittent vacuum sealing drainage promotes a rapid and copious production of granulation tissue over soft tissue wound. The patient suffering is minimal and the dressings are easy to manage.