CAJ | 학술논문

目的：探讨持续负压封闭引流在损伤或感染创面修复中应用疗效方法使用Vacuseal（真空密封）材料和生物透性薄膜对11例感染或损伤较严重、不能I期修复的创面利用持续封闭式负压引流治疗。结果3例病人创面持续负压封闭引流2次后植皮愈合；1例病人创腔持续负压封闭引流1次直接缝合后愈合；3例病人创面持续负压封闭引流2次后改普通换药，创面愈合；4例病人创面持续负压封闭引流3-6次，创腔、创面变浅改普通换药后愈合。结论持续负压封闭引流不仅具有引流通畅、不易堵塞管腔的优点，而且还能及时清除引流区渗出物和坏死组织，改善局部微循环和促进组织水肿消退，刺激肉芽组织生长，加速创面愈合。
목적：탐토지속부압봉폐인류재손상혹감염창면수복중응용료효방법사용Vacuseal（진공밀봉）재료화생물투성박막대11례감염혹손상교엄중、불능I기수복적창면이용지속봉폐식부압인류치료。결과3례병인창면지속부압봉폐인류2차후식피유합；1례병인창강지속부압봉폐인류1차직접봉합후유합；3례병인창면지속부압봉폐인류2차후개보통환약，창면유합；4례병인창면지속부압봉폐인류3-6차，창강、창면변천개보통환약후유합。결론지속부압봉폐인류불부구유인류통창、불역도새관강적우점，이차환능급시청제인류구삼출물화배사조직，개선국부미순배화촉진조직수종소퇴，자격육아조직생장，가속창면유합。
Objective To research the efficiency of continious negative pressure drainage in the cases of trau-matic surgery.Methods Continious negative pressure drainage was applied in 11 cases of severe infectious wounds.Results After5to7days continious negative pressure drainage,3patients were cicatrized by suturing or skin-graft-ing.In8case,the wound was shalow enough to be cured by normal dressing-change after the materials of continious negative pressure drainage were changed3-6times(once per5to7days).Conclusion Continious negative pressure drainage is easy to drain exudate and necrosis completely,and the pipe is rarely blocked.The drainage is in favor of improving local microcirculation,decreasing local tissue edema,stimulating the growth of granulation tissue,and accel-erating the procedure of wound healing.