CAJ | 학술논문

目的：探讨简易封闭式负压引流技术在糖尿病足溃疡治疗中的辅助疗效。方法利用中心负压、吸痰管、湿性敷料、Opsite 透明膜等制成简易封闭式负压引流装置，对68例糖尿病足溃疡患者进行持续封闭负压引流治疗。统计68例的溃疡创面自接受简易封闭式负压引流治疗开始，至可以施行手术缝合、加压疗法或皮瓣转移的创面床准备时间，并观察有无出现治疗相关并发症及不良反应。结果68例糖尿病足溃疡经封闭负压引流治疗7～14 d （中位时间9 d）后创面床准备良好，有肉芽生长，呈颗粒状，湿润且具有光泽，渗液量较前明显减少。在此创面基础上34例行加压疗法，23例行二期手术缝合，11例行皮瓣转移，溃疡创面均完全愈合，愈合率达100％。未发现简易封闭式负压引流治疗相关的并发症和不良反应。结论简易封闭式负压引流技术能有效辅助治疗糖尿病足溃疡，且取材方便，操作简单易掌握。
목적：탐토간역봉폐식부압인류기술재당뇨병족궤양치료중적보조료효。방법이용중심부압、흡담관、습성부료、Opsite 투명막등제성간역봉폐식부압인류장치，대68례당뇨병족궤양환자진행지속봉폐부압인류치료。통계68례적궤양창면자접수간역봉폐식부압인류치료개시，지가이시행수술봉합、가압요법혹피판전이적창면상준비시간，병관찰유무출현치료상관병발증급불량반응。결과68례당뇨병족궤양경봉폐부압인류치료7～14 d （중위시간9 d）후창면상준비량호，유육아생장，정과립상，습윤차구유광택，삼액량교전명현감소。재차창면기출상34례행가압요법，23례행이기수술봉합，11례행피판전이，궤양창면균완전유합，유합솔체100％。미발현간역봉폐식부압인류치료상관적병발증화불량반응。결론간역봉폐식부압인류기술능유효보조치료당뇨병족궤양，차취재방편，조작간단역장악。
Objective To explore the clinical efficacy of simplified vacuum-assisted closure wound therapy in treatment of diabetic foot ulcer.Methods A type of simplified vacuum assisted closure was made of center vacuum suction,suction catheter,moisture dressings,Opstie film etc.The time of preparation of wound bed from simplified vacuum-assisted closure wound therapy to surgical suture,compression therapy or flap transferring was recorded in 68 patients with diabetic foot ulcer.Relevant complications and adverse events were observed.Results After simplified vacuum-assisted closure wound therapy for 7 to 14 days (median:9 days),good wound bed was observed with growth of granulation tissues.The amount of effusion was significant-ly reduced.On this basis,34 patients further accepted compression therapy,23 receiving secondary suture and 11 undergoing skin flap transferring.The healing rate of ulcer wound achieved up to 100%.No complications or adverse events related to simplified vacuum-assisted closure wound therapy were observed.Conclusions Simplified vacuum-assisted closure wound therapy acts as effective auxiliary treatment of diabetic foot ulcer.In addition,the sampling is convenient and it is easy to operate.