CAJ | 학술논문

目的探讨应用生物半透膜密闭包扎治疗指端组织缺损的临床应用效果.方法 2012年8月至2013年12月,对20例20指指端组织缺损病例均采用生物半透膜密闭包扎治疗,创面大小为1.0cm×l.0cm～2.5cm×2.0cm,其中创面有骨质外露12例.所有创面均清创后采用生物半透膜直接密闭包扎,每5～7d更换半透膜时只需用生理盐水冲洗创面,无需殃伏消毒.结果本组病例均获得6～ 18个月的随访,20例指端创面均无感染发生,愈合时间为3～6周.新生皮肤质地接近正常,两点分辨觉为7～ 10 mm,功能、外观满意.结论应用生物半透膜密闭包扎治疗指端组织缺损效果满意,是一种较为理想的治疗方法.
목적 탐토응용생물반투막밀폐포찰치료지단조직결손적림상응용효과.방법 2012년8월지2013년12월,대20례20지지단조직결손병례균채용생물반투막밀폐포찰치료,창면대소위1.0cm×l.0cm～2.5cm×2.0cm,기중창면유골질외로12례.소유창면균청창후채용생물반투막직접밀폐포찰,매5～7d경환반투막시지수용생리염수충세창면,무수앙복소독.결과 본조병례균획득6～ 18개월적수방,20례지단창면균무감염발생,유합시간위3～6주.신생피부질지접근정상,량점분변각위7～ 10 mm,공능、외관만의.결론 응용생물반투막밀폐포찰치료지단조직결손효과만의,시일충교위이상적치료방법.
Objective To discuss the clinical application and effect of treating tissue defect on the finger tip with airtight semipermeable dressing technique.Methods From August 2012 to December 2013,20 cases (20 fingers)of tissue defect on finger tip were treated with airtight semipermeable dressing technique.There were 12 cases with bone-exposure.The defect size was from 1.0 cm × 1.0 cm to 2.5 cm × 2.0 cm.All cases were treated with biological membrane directly to cover the defects.The wound was cleaned with saline and replaced with a new semipermeable membrane every 5 to 7 days.Results The wound and donor site in 20 cases all healed without infections.The 20 cases were follow-up for 6 to 18 months.The texture and color of the new skin were similar to those of adjacent normal skin,with a satisfactory appearance without obvious contracture.The two-point discrimination was 7 to 10 mm.Conclusion Airtight semipermeable dressing technique could be an ideal method of treating soft tissue defects on fingertip.