CAJ | 학술논문

目的：通过介绍负压封闭引流技术(VSD)在肢体脱套伤创面的应用，减少感染几率、促进创面愈合，为治疗提供依据。方法：收治肢体脱套伤患者17例，一期行手术清创，剥脱皮肤反取皮植皮，安装VSD持续封闭负压引流治疗7～10天，视创面情况植皮，再次予以VSD 覆盖。结果：取得了用传统方法治疗脱套伤创面无法达到的优良效果。13例脱套皮肤存活。另4例患者，由于创面软组织毁损严重或感染较重、血运欠佳，再一次清创后，予以拉网植皮、点状植皮、肌皮瓣转移等，继续负压闭式引流，所植皮肤基本成活。结论：VSD能够促进创面愈合，缩短疗程，疗效远优于常规治疗。
목적：통과개소부압봉폐인류기술(VSD)재지체탈투상창면적응용，감소감염궤솔、촉진창면유합，위치료제공의거。방법：수치지체탈투상환자17례，일기행수술청창，박탈피부반취피식피，안장VSD지속봉폐부압인류치료7～10천，시창면정황식피，재차여이VSD 복개。결과：취득료용전통방법치료탈투상창면무법체도적우량효과。13례탈투피부존활。령4례환자，유우창면연조직훼손엄중혹감염교중、혈운흠가，재일차청창후，여이랍망식피、점상식피、기피판전이등，계속부압폐식인류，소식피부기본성활。결론：VSD능구촉진창면유합，축단료정，료효원우우상규치료。
Objective:Through the introduction of vacuum sealing drainage technique application in extremity degloving injury, reduce the probability of infection,promote wound healing,and provide a basis for treatment.Methods:17 cases with extremity degloving injury were selected.They were treated with one stage operation debridement,stripping the skin against skin grafting,the installation of VSD continuous closed negative pressure drainage in the treatment was for 7 to 10 days,according to the specific situation of wound,and the wound was covered by VSD again.Results: 13 cases degloving skin were suivival.For other 4 cases, because of the heavier as wounds with soft tissue damage or infection, and poor blood supply, once again after debridement, Seine graft, dot skin graft, myocutaneous flap transfer, etc., to continue the closed negative pressure drainage, and the basic skin graft survival.Conclusion:VSD can promote wound healing,shorten the course of treatment,and the curative effect is much better than that of conventional treatment.