CAJ | 학술논문

目的：探讨化腐生肌膏治疗乳腺癌术后皮瓣坏死久不愈合创面临床观察。方法将40例乳腺癌各类术式术后出现局部皮瓣坏死患者按随机数字表法分成两组，治疗组20例使用化腐生肌膏换药，对照组20例使用莫匹罗星软膏进行换药。结果治疗组痊愈15例，显效3例，有效1例，无效1例，总有效率95%；对照组痊愈9例，显效3例，有效3例，无效5例，总有效率75%。治疗组新生上皮出现平均（3.03±1.65）d，腐肉脱落平均（2.96±1.25）d，创面愈合平均（19.92±6.01）d；对照组新生上皮出现平均（6.61±2.01）d，腐肉脱落平均（3.78±16.01）d，创面愈合平均（21.90±7.33）d；治疗组与对照组比较，差异有统计学意义（P ﹤0.05）。结论化腐生肌膏能促进乳腺癌术后皮瓣坏死久不愈合创面的整体愈合质量。
목적：탐토화부생기고치료유선암술후피판배사구불유합창면림상관찰。방법장40례유선암각류술식술후출현국부피판배사환자안수궤수자표법분성량조，치료조20례사용화부생기고환약，대조조20례사용막필라성연고진행환약。결과치료조전유15례，현효3례，유효1례，무효1례，총유효솔95%；대조조전유9례，현효3례，유효3례，무효5례，총유효솔75%。치료조신생상피출현평균（3.03±1.65）d，부육탈락평균（2.96±1.25）d，창면유합평균（19.92±6.01）d；대조조신생상피출현평균（6.61±2.01）d，부육탈락평균（3.78±16.01）d，창면유합평균（21.90±7.33）d；치료조여대조조비교，차이유통계학의의（P ﹤0.05）。결론화부생기고능촉진유선암술후피판배사구불유합창면적정체유합질량。
Objective To explore the therapeutic effect of Huafu Shengji paste in treating sKin flap necrosis and hart - to - heal wound after mammary cancer surgery. Methods Forty patients suffered from lo-cal sKin flap necrosis after Kinds of mammary cancer surgery were randomized to treatment group(n = 20)and control group(n = 20). Patients in the treatment group were given Huafu Shengji paste,while patients in the control group received mupirocin ointment. Results There were 15 cured cases in the treatment group,along with 3 remarKable effectiveness cases,1 effective case and 1 failed case,and the total effective rate was 95% ;There were 9 cured cases in the control group,as well as 3 remarKable effectiveness cases,3 effective cases and 5 failed cases,and the total effective rate was 75% . The new born sKin averagely appeared after(6. 61 ± 2. 01)days,and the dead sKin dropped after(3. 78 ± 16. 01)days averagely,and the healing of wound tooK (21. 90 ± 7. 33)days. There were significant differences between the treatment group and the control group(P﹤ 0. 05). Conclusion Huafu Shengji paste can promote the healing quality of sKin flap necrosis and hart -to - heal wound after mammary cancer surgery.