CAJ | 학술논문

目的：观察VSD修复慢性褥疮创面的临床疗效。方法：36例慢性褥疮患者随机分成2组。对照组12例，予传统的抗感染、改善微循环、聚维酮碘药膏换药治疗，创面未愈者行植皮或皮瓣修复术。观察组24例，早期应用VSD处理创面，待其肉芽生长满意后行植皮术。结果：对照组平均住院天数65．8±14．2天，其中植皮或皮瓣修复术修复3例，创面换药愈合者9例，创面愈合后疤痕增生明显。观察组平均住院天数41．6±11．8天，创面治愈后外观满意，疤痕增生轻或不明显。结论：VSD可以有效的促进慢性褥疮创面愈合，缩短住院时间。
목적：관찰VSD수복만성욕창창면적림상료효。방법：36례만성욕창환자수궤분성2조。대조조12례，여전통적항감염、개선미순배、취유동전약고환약치료，창면미유자행식피혹피판수복술。관찰조24례，조기응용VSD처리창면，대기육아생장만의후행식피술。결과：대조조평균주원천수65．8±14．2천，기중식피혹피판수복술수복3례，창면환약유합자9례，창면유합후파흔증생명현。관찰조평균주원천수41．6±11．8천，창면치유후외관만의，파흔증생경혹불명현。결론：VSD가이유효적촉진만성욕창창면유합，축단주원시간。
Objective:Clinical analysis of repairing chronic pressare sores wounds with VSD.Methods:36 pressare sores wounds pa-tients which were admitted to our hospital during 2009-1 to 2013-1 were randomly divided into control and test groups.12 patients were included in control group which were treated by anti-infection, microcirculation improvement and the wounds were covered by gauze soaked with povidone iodine cream with regular dressing change.And 24 patients were enrolled in test group which were treated by anti-infection, microcirculation improvement and early vacuum sealing drainage( VSD) .Some bigger wounds were treated by skin grafting on base of satisfied granulation tissue growth.Results:The patients in control group stayed in hospital for 65.8 ±14.2 days averagely.The patients in test group stayed in hospital for 31.6 ±1.2 days averagely.The wounds in test group patients were covered with little scar for-mation.Conclusion:repairing chronic wounds with VSD is a new and effective treating way,this way could accelerate the healing speed of chronic wounds.Wound repair with artificial dermis could shorten hospitalization days and decrease operation times and decrease operative risk.This method can be recommended.