CAJ | 학술논문

目的探讨负压封闭引流术(vacuum sealing drainage,VSD)联合皮瓣移植治疗慢性溃疡性创面的可行性及有效性.方法 2009年6月至2011年8月,应用VSD联合皮瓣移植治疗不同病因致慢性溃疡性创面者15例,经辅助应用VSD于创面1～6次,待感染控制、肉芽组织生长良好后选择皮瓣转移修复刨面.结果除1例皮瓣尖端小面积坏死,经皮片移植后愈合外,其余皮瓣均存活良好,创面一期愈合,术后随访6～24个月,无一例感染复发.结论 VSD联合皮瓣移植治疗慢性溃疡性创面,具有并发症少、皮瓣存活率高、术后感染不易复发的特点,临床效果显著.
목적 탐토부압봉폐인류술(vacuum sealing drainage,VSD)연합피판이식치료만성궤양성창면적가행성급유효성.방법 2009년6월지2011년8월,응용VSD연합피판이식치료불동병인치만성궤양성창면자15례,경보조응용VSD우창면1～6차,대감염공제、육아조직생장량호후선택피판전이수복포면.결과 제1례피판첨단소면적배사,경피편이식후유합외,기여피판균존활량호,창면일기유합,술후수방6～24개월,무일례감염복발.결론 VSD연합피판이식치료만성궤양성창면,구유병발증소、피판존활솔고、술후감염불역복발적특점,림상효과현저.
Objective To explore the feasibility and efficacy of the vacuum sealing drainage (VSD) technique combined with skin flap for the treatment of chronic ulcerative wounds.Methods From June 2009 to Aug.2011,the VSD technique combined with skin flap has been applied in the treatment of 15patients with chronic ulcerative wounds caused by various reasons.The VSD was applied to the wound for 1-6 times.When infection was controlled and fresh granulation grew,skin flap was used to cover the wound.Results Flap necrosis happened in a small area at the distal end in one case,which healed after skin graft.All the other flaps survived with primary healing.The patients were followed up for 6-24 months postoperatively with no recurrence of infection.Conclusions VSD combined with skin flap is an ideal choice for reconstruction of chronic ulcerative wounds.h has the advantages of low complications,reliable flap survival rate,and low infection recurrence.