CAJ | 학술논문

目的：探讨一次性闭合高负压引流系统（ PFM，德国PFM医疗集团生产）在小儿巨大脓肿手术治疗中的临床意义。方法：对2012年6月～2013年l月收治的20例（＞3 cm）脓肿患儿的临床资料进行回顾性分析。根据患儿脓肿的部位分别采用不同径路的小切口脓肿切开排脓联合一次性闭合高负压引流系统术后持续引流术，同时应用抗生素，加强全身支持治疗；对并发的各种基础疾病请相关科室协同处理，重视可能出现的并发症并作相应的处理。结果：20例患儿治疗7～14 d皆痊愈出院，有效治愈率100％。结论：小切口脓肿切开排脓联合一次性闭合高负压引流系统术后持续引流术表现出微创治疗的优越性，术后便于患儿活动，无需更换脓腔内引流纱条，无需更换引流瓶，能明显减轻换药给患儿带来的痛苦和医师的工作量，愈合快，且愈合后无明显瘢痕，外观美观，尤其针对深部且较大的脓肿效果更好，故治疗效果优于传统治疗方法。
목적：탐토일차성폐합고부압인류계통（ PFM，덕국PFM의료집단생산）재소인거대농종수술치료중적림상의의。방법：대2012년6월～2013년l월수치적20례（＞3 cm）농종환인적림상자료진행회고성분석。근거환인농종적부위분별채용불동경로적소절구농종절개배농연합일차성폐합고부압인류계통술후지속인류술，동시응용항생소，가강전신지지치료；대병발적각충기출질병청상관과실협동처리，중시가능출현적병발증병작상응적처리。결과：20례환인치료7～14 d개전유출원，유효치유솔100％。결론：소절구농종절개배농연합일차성폐합고부압인류계통술후지속인류술표현출미창치료적우월성，술후편우환인활동，무수경환농강내인류사조，무수경환인류병，능명현감경환약급환인대래적통고화의사적공작량，유합쾌，차유합후무명현반흔，외관미관，우기침대심부차교대적농종효과경호，고치료효과우우전통치료방법。
Objective:To investigate the clinical effect of disposable med-ical high-vacuum drainage system(PFM,Germany)for treatment of chil-dren with huge abscess.Methods:The clinical data were retrospectively analyzed in 20 children with huge abscess( >3 cm) undergone treatment in our department between June 2012 and May 2013.The total patients were managed with small incision into the abscess by different surgical route on lesion basis, combined with continuous postoperative drainage with the high-vacuum drainage system as well as antibiotics and enhanced supportive therapy.The potential complications or underlying diseases were cooperatively managed by relevant departments.Results:The total 20 patients were cured between 7 and 14 days of hospital stay,and the cura-tive rate was 100%.Conclusion:Small incision of the abscess combined with disposable high-vacuum system can be preferable for its minimal in-vasion,less interference with the activity of postoperative children ,unnec-essary replacement of the drainage gauze and drainage bottle .More impor-tant,this technique may reduce the pain of the children in replacing the dressings and workload of a surgeon,and lead to fast wound healing,less visual scar but better cosmetic results.In addition,it is superior to conven-tional surgery in treating the larger deep abscess.