CAJ | 학술논문

目的：探讨臀大肌肌皮瓣配合负压封闭引流技术(VSD)持续负压引流修复骶尾部压疮的临床效果。方法骶尾部压疮患者38例，依据治疗措施不同分为对照组18例和观察组20例。对照组给予臀大肌肌皮瓣修复治疗，观察组给予VSD技术配合臀大肌肌瓣修复治疗。观察治疗效果。结果观察组骶尾部压疮患者临床治疗的优良率100.0%明显高于对照组77.8%(P<0.05)，观察组骶尾部压疮患者压疮Ⅰ期愈合率、感染发生率和住院时间均优于对照组(P<0.05)。结论臀大肌肌皮瓣配合VSD持续负压引流修复骶尾部压疮压疮Ⅰ期愈合率高，降低了感染发生率，值得临床推广应用。
목적：탐토둔대기기피판배합부압봉폐인류기술(VSD)지속부압인류수복저미부압창적림상효과。방법저미부압창환자38례，의거치료조시불동분위대조조18례화관찰조20례。대조조급여둔대기기피판수복치료，관찰조급여VSD기술배합둔대기기판수복치료。관찰치료효과。결과관찰조저미부압창환자림상치료적우량솔100.0%명현고우대조조77.8%(P<0.05)，관찰조저미부압창환자압창Ⅰ기유합솔、감염발생솔화주원시간균우우대조조(P<0.05)。결론둔대기기피판배합VSD지속부압인류수복저미부압창압창Ⅰ기유합솔고，강저료감염발생솔，치득림상추엄응용。
Objective To investigate cluteal myocutaneous flap combined with vacuum sealing drainage (VSD) for repairing sacrococcygeal region pressure sores.Methods A total of 38 patients with sacrococcygeal region pressure sores were divided by different treatment measures into control group with 18 cases and observation group with 20 cases. The control group received gluteal myocutaneous flap repair for treatment, and the observation group received VSD along with gluteal myocutaneous flap repair. Curative effects were observed.Results The observation group had much higher good rate as 100.0% in clinical treatment of sacrococcygeal region pressure sores than 77.8% of the control group (P<0.05), and the observation group also had better primary healing rate of stage Ⅰ pressure sores, incidence of infection, and hospital stay than the control group (P<0.05).Conclusion Cluteal myocutaneous flap combined with VSD has high primary healing rate in repairing sacrococcygeal region stage Ⅰ pressure sores. It can reduce incidence of infection, and it is worth clinical promotion and application.