CAJ | 학술논문

目的探讨持续负压封闭式引流技术在预防性腹股沟淋巴结清扫术中的应用价值.方法 2003年9月至2013年9月,对60例腹股沟淋巴结清扫病例,按术后进行传统加压引流和持续负压封闭引流分为2组,每组30例,观察术后皮瓣血运、切口愈合时间以及淋巴漏发生率,并进行对比研究.结果持续负压封闭引流组治愈28例,有效2例;传统加压组治愈11例,有效10例,无效9例.持续负压封闭式引流组在治愈率、有效率以及治愈时间上,与传统加压引流组比较,差异有统计学意义(P＜0.01).结论 VSD技术可使腹股沟淋巴结清扫术后淋巴漏发生率明显降低,是预防术后淋巴漏比较理想的方法.
목적 탐토지속부압봉폐식인류기술재예방성복고구림파결청소술중적응용개치.방법 2003년9월지2013년9월,대60례복고구림파결청소병례,안술후진행전통가압인류화지속부압봉폐인류분위2조,매조30례,관찰술후피판혈운、절구유합시간이급림파루발생솔,병진행대비연구.결과 지속부압봉폐인류조치유28례,유효2례;전통가압조치유11례,유효10례,무효9례.지속부압봉폐식인류조재치유솔、유효솔이급치유시간상,여전통가압인류조비교,차이유통계학의의(P＜0.01).결론 VSD기술가사복고구림파결청소술후림파루발생솔명현강저,시예방술후림파루비교이상적방법.
Objective To investigate the clinical application of the vacuum-sealing drainage (VSD) in the prevention of lymph leakage after inguinal lymphadenectomy.Methods From September 2003 to September 2013,60 cases who underwent inguinal lymph nodes dissection received VSD(n =30),or traditional pressure dressing and drainage(control group,n =30) after operation.The flap blood supply,healing process and incidence rate of lymph leakage were observed.Results Twenty-eight cases in VSD group were effective.Eleven cases were cured,ten cases were effective,and nine cases were invalid in control group.The cure rate,effective rate and healing period were significantly different between the two groups(P ＜ 0.01).Conclusions The incidence of lymph leakage after inguinal lymphadenectomy can markedly decrease with VSD application.VSD could be an ideal preventive method for post-operative lymph leakage.