CAJ | 학술논문

目的：观察中西医结合点状植皮法对糖尿病足溃疡的修复作用。方法：在174例糖尿病足溃疡患者创面肉芽组织较新鲜，质地坚实，无明显水肿，分泌物较少，周围无急性炎症时植皮，在局麻下，用锐刀切取点状皮片，将皮片均匀置于创面肉芽组织，使皮片深层与肉芽底部紧密接触，皮片间距0.5~1 cm，无菌网眼纱布覆盖固定，敷以生肌象皮膏纱条，无菌干纱布稍加压包扎。结果：植皮数8~60片，平均成活率80%；创面痊愈时间7~28 d，平均18.7 d。结论：中西医结合点状植皮法治疗糖尿病足溃疡，操作简便，疗效显著，创伤小，不需要特殊技术及设备器械。
목적：관찰중서의결합점상식피법대당뇨병족궤양적수복작용。방법：재174례당뇨병족궤양환자창면육아조직교신선，질지견실，무명현수종，분비물교소，주위무급성염증시식피，재국마하，용예도절취점상피편，장피편균균치우창면육아조직，사피편심층여육아저부긴밀접촉，피편간거0.5~1 cm，무균망안사포복개고정，부이생기상피고사조，무균간사포초가압포찰。결과：식피수8~60편，평균성활솔80%；창면전유시간7~28 d，평균18.7 d。결론：중서의결합점상식피법치료당뇨병족궤양，조작간편，료효현저，창상소，불수요특수기술급설비기계。
Objective To observe the repair effect of traditional Chinese and western medicine-dot skin graft method on diabetic foot ulcers. Methods A number of 174 patients with diabetic foot ulcers for skin graft were selected when their wound granulation tissue was fresh , solid, and without obvious edema, no much secretion as well as the surrounding and without acute inflammation. Under local anesthesia, dot skins were cut off with a sharp knife, and being put evenly on wound granulation tissue, making the deep layers close to the bot?tom of granulation, then about 5~10 mm apart, covered and fixed with sterile mesh gauze, applied to Sheng-ji plaster muscular tissue originating gauze on skin ulcers, bandaged with sterile dry gauze with a little compres?sion. Results There are 8 to 60 slices of dot skin grafted. The average survival rate was 80%. The duration of wound healing was 7 to 28 days for complete recovery, averaging 18.7 days. Conclusion Traditional Chinese and western medicine-dot skin graft application to treat diabetic foot ulcers is simple and effective with less traumatic formation. And no special technology and equipment is required.