CAJ | 학술논문

目的探讨负压封闭吸引治疗创伤性骨髓炎的临床效果。方法回顾性分析我院从2010年2月到2013年3月因创伤发生骨髓炎在我院治疗的患者49例，应用 VSD 负压封闭吸引以及二期皮瓣修复的方法对其进行治疗，并进行6个月的远期随访。结果78例骨髓炎患者中其中41例创面一期愈合，无复发；7例于手术后1个月内复发，经过二次手术治愈；其中 1例患者创面一直未愈合，感染较重。结论 VSD 负压封闭吸引技术能够较好的将创面的分泌物以及坏死组织吸出，能够有效的控制骨髓炎的感染，并且能够较好的促进创面的愈合。
목적탐토부압봉폐흡인치료창상성골수염적림상효과。방법회고성분석아원종2010년2월도2013년3월인창상발생골수염재아원치료적환자49례，응용 VSD 부압봉폐흡인이급이기피판수복적방법대기진행치료，병진행6개월적원기수방。결과78례골수염환자중기중41례창면일기유합，무복발；7례우수술후1개월내복발，경과이차수술치유；기중 1례환자창면일직미유합，감염교중。결론 VSD 부압봉폐흡인기술능구교호적장창면적분비물이급배사조직흡출，능구유효적공제골수염적감염，병차능구교호적촉진창면적유합。
Objective To discuss the clinical effect of vacuum sealing drainage for the treatment of traumatic osteomyelitis. Methods From February,2010 to March,2013,49 patients with traumatic osteomyelitis were retrospective analyzed in our hospital. VSD vacuum sealing drainage and flaps repair in stage two methods were applied in the treatment,and a long term fol ow-up of 6 months was made. Results In 78 cases of osteomyelitis patients,41 cases wound healing in stage one,there was no recurrence; 7 cases relapsed within 1 month after the surgery,they were cured after the second surgery;the wound has not healed in 1 case,its infection was severe. Conclusion The vacuum sealing drainage (VSD) was good for aspirating the wound exudate and necrotic tissue. It can effectively control the osteomyelitis infection and can be used to promote wound healing.