CAJ | 학술논문

目的：研究持续封闭负压引流用于小面积的皮肤缺损并钢板外露的可行性。方法选择2009年至2012年间小面积皮肤缺损伴钢板外露面积患者4例，男3例，女1例，年龄24~54岁，平均37岁，皮肤缺损面积分别为9、9、12、16 cm2，其中胫腓骨远端骨折3例，胫腓骨近端骨折1例。除外严重感染和骨髓炎及血供障碍者，接受清创手术后，进行持续封闭负压引流治疗，每周更换一次，直至新鲜肉芽覆盖钢板及创面。结果经平均3周（分别为2、2、3、5周）治疗，所有患者创面及钢板均被新鲜肉芽填充，没有感染患者。结论持续封闭负压引流治疗可用于小面积皮肤缺损并钢板外露患者，具有治疗简单，避免多次手术的优点。
목적：연구지속봉폐부압인류용우소면적적피부결손병강판외로적가행성。방법선택2009년지2012년간소면적피부결손반강판외로면적환자4례，남3례，녀1례，년령24~54세，평균37세，피부결손면적분별위9、9、12、16 cm2，기중경비골원단골절3례，경비골근단골절1례。제외엄중감염화골수염급혈공장애자，접수청창수술후，진행지속봉폐부압인류치료，매주경환일차，직지신선육아복개강판급창면。결과경평균3주（분별위2、2、3、5주）치료，소유환자창면급강판균피신선육아전충，몰유감염환자。결론지속봉폐부압인류치료가용우소면적피부결손병강판외로환자，구유치료간단，피면다차수술적우점。
ObjectiveTo study the feasibility of continuous negative pressure closed drainage for skin defect with interfixation plate exposure MethodsFrom 2009-2012, there were 4 cases who has small area skin defect with interifxation plate exposure, 3 men and 1 woman, from 24 to 54 years old, average 37 years old.3 with distal tibie fracture and 1 with proximal tibie fracture. The skin defect area from 9 to 16 cm2 (respectively9, 9, 12 and 16 cm2). They all received continuous negative pressure closed drainage after debridement. The material of negative pressure drainage were changed every week until the skin defect area and the plate has covered by granulation tissueResultsAfter average 3 weeks(from 2 to 5 weeks), the skin defect area and the plate has covered by regeneration granulation tissue in all patient. No infection occur.ConclusionThe continuous negative pressure closed drainages can be used to treatment the small area skin defect with interifxation plate exposure. It can simpliify the treatment and reduce the times of operation.