CAJ | 학술논문

目的探讨外固定架联合封闭负压吸引治疗伴有大面积撕脱伤的儿童下肢骨折的效果.方法 8例伴有大面积撕脱伤的下肢骨折患儿行外固定架治疗后将撕脱的皮肤制成网状中厚皮片回植于撕脱创面,植皮区表面再行封闭负压吸引治疗,术后随访6～12个月.结果 8例患儿均未出现骨和软组织感染,骨折固定稳定,回植皮片绝大部分成活.结论外固定架联和封闭负压吸引治疗伴有大面积撕脱伤的儿童下肢骨折具有操作简单、创伤小、固定可靠、免除换药、植皮成活率高、便于术后管理的优点.
목적 탐토외고정가연합봉폐부압흡인치료반유대면적시탈상적인동하지골절적효과.방법 8례반유대면적시탈상적하지골절환인행외고정가치료후장시탈적피부제성망상중후피편회식우시탈창면,식피구표면재행봉폐부압흡인치료,술후수방6～12개월.결과 8례환인균미출현골화연조직감염,골절고정은정,회식피편절대부분성활.결론 외고정가련화봉폐부압흡인치료반유대면적시탈상적인동하지골절구유조작간단、창상소、고정가고、면제환약、식피성활솔고、편우술후관리적우점.
Objective To explore the effects of external fixation combined with vacuum sealing drainage (VSD) in thc treatment of lower limb fracture complicated with large-scale skin avulsion in children. Methods Eight patients with lower limb fracture and complicated with large-scale skin avulsion were enrolled in this study. The fractures were fixed using external fixators; then, the autogenous mesh grafts which were made from avulsed skin were planted on the wounds. The VSD was applied on the patients. A -200 ～-300 kPa pressure was exerted to the wound, and the VSD was used for 7 days. Results Patients were followed up for 6-12 months. No complication like bone and soft tissue infections was noted on all cases. The bone fractures were firmly fixed, and skin grafts survived in 7 cases. Conclusions The external fixation combined with VSD is simple, minimally invasion and effective in the treatment of lower limb fracture complicated with large-scale skin avulsion in children.