CAJ | 학술논문

目的探讨持续负压封闭引流在开放性损伤及骨科术后伤口感染的应用及效果.方法回顾性分析我院32例开放性损伤和骨科术后伤口感染患者持续负压封闭引流后的疗效及有关问题.结果 32例患者持续负压封闭引流持续负压吸引后,感染创面得到良好控制,皮片植皮成活,伤口较陕愈合.结论持续负压封闭引流是治疗开放性损伤及骨科术后伤口感染的有效方法,可以作为开放性损伤及骨科术后伤口感染的常规方法.对有血管断裂或缺损的患者,行血管移植修补术后仍有皮肤缺损者,只要手术中将血管的吻合口用周围皮肤软组织覆盖,仍可以持续负压封闭引流覆盖创面以预防感染.
목적 탐토지속부압봉폐인류재개방성손상급골과술후상구감염적응용급효과.방법 회고성분석아원32례개방성손상화골과술후상구감염환자지속부압봉폐인류후적료효급유관문제.결과 32례환자지속부압봉폐인류지속부압흡인후,감염창면득도량호공제,피편식피성활,상구교협유합.결론 지속부압봉폐인류시치료개방성손상급골과술후상구감염적유효방법,가이작위개방성손상급골과술후상구감염적상규방법.대유혈관단렬혹결손적환자,행혈관이식수보술후잉유피부결손자,지요수술중장혈관적문합구용주위피부연조직복개,잉가이지속부압봉폐인류복개창면이예방감염.
Objective To investigate the effects of the treatment of open injury and orthopedic postoperative wound infections with Vacuum Sealing Drainage.Methods Retrospective analysis of the clinical results of 32 patients with open injury or orthopedic postoperative wound infections in our hospital.Results Follow the indications and contraindications strictly and ensure right pressure,all the infection of wounds was controlled,and split skin graft survived.Without the package and pressurized fixation,the wounds healed better.Conclusion Vacuum Sealing Drainage can be considered one of the effective methods to treat the open injury or orthopedic postoperative wound infections and is worthy to be carried out as a routine.For patients with vascular rupture or defect,when there was still skin defects after vascular graft repair,as long as covered vascular anastomosis with the surrounding skin and soft tissue during the operation,there was still can use closed vacuum sealing drainage to cover the wound to prevent infection.