CAJ | 학술논문

目的：探讨分析VSD负压封闭引流技术在腹外疝修补术后早期切口感染中应用的可行性。方法2010年9月至2014年8月，四川省医学科学院·四川省人民医院急救中心769例患者行开放式无张力疝修补术，其中15例患者术后早期出现切口感染。由外院转入11例切口感染患者，转入时切口均已发生感染，其中8例已打开切口换药引流。将26例切口感染患者随机分为治疗组及对照组，每组患者13例，其中治疗组术后应用VSD负压封闭引流技术，观察切口愈合时间和复发情况。结果治疗组的治疗时间明显缩短，差异有统计学意义（ P＜0．05）。治疗组患者切口全部愈合，无取出补片患者，随访无复发；对照组2例患者切口未能完全愈合而形成慢性窦道，3个月后再次行手术取出补片，其中1例在8个月后复发。结论无张力疝修补术后出现早期切口感染使用VSD负压封闭引流技术可缩短治疗周期，促进切口愈合，避免再次手术取出补片，值得临床应用。
목적：탐토분석VSD부압봉폐인류기술재복외산수보술후조기절구감염중응용적가행성。방법2010년9월지2014년8월，사천성의학과학원·사천성인민의원급구중심769례환자행개방식무장력산수보술，기중15례환자술후조기출현절구감염。유외원전입11례절구감염환자，전입시절구균이발생감염，기중8례이타개절구환약인류。장26례절구감염환자수궤분위치료조급대조조，매조환자13례，기중치료조술후응용VSD부압봉폐인류기술，관찰절구유합시간화복발정황。결과치료조적치료시간명현축단，차이유통계학의의（ P＜0．05）。치료조환자절구전부유합，무취출보편환자，수방무복발；대조조2례환자절구미능완전유합이형성만성두도，3개월후재차행수술취출보편，기중1례재8개월후복발。결론무장력산수보술후출현조기절구감염사용VSD부압봉폐인류기술가축단치료주기，촉진절구유합，피면재차수술취출보편，치득림상응용。
Objective To investigate the feasibility of Vacuum sealing drainage ( VSD ) in early postoperative infection after abdominal external hernia repair .Methods Between September 2010 and August 2014 , 15 out of 760 patients who underwent open tension-free hernia repair in Sichuan Provincial People′s Hospital developed an early wound infection .In addition, 11 cases of wound infection from other hospitals admitted to our hospital were also enrolled in this study .26 patients were randomly divided into two groups:VSD group ( n =13 ) and control group ( n=13 ) .The wound healing time and recurrence were recorded.Results VSD group had significantly shorter treatment time than control group (P<0.05).All in VSD group healed successfully , without mesh removal and recurrence .2 patients developed chronic sinus in control group, due to incompletely healing .Re-operations were necessary to remove the meshes , and 1 recurrence occurred in 8 months after surgery .Conclusion Using VSD system in early wound infection followed tension-free herniorrhaphy can shorten the treatment cycle , promote wound healing , and avoid mesh removal.It is worthy of clinical application .