CAJ | 학술논문

目的：探讨负压封闭引流术（VSD）在基层骨科皮肤软组织重度损伤患者特别是四肢部位损伤患者中的应用效果。方法2009年9月-2012年10月我院骨科对收治的88例四肢皮肤软组织重度损伤患者的创伤部位进行手术清创后，使用负压封闭引流并用敷料覆盖全创面。结果10例患者使用V S D治疗后行清洁换药伤口愈合；24例患者持续负压引流5d～3w，拆除敷料后创面经直接缝合或取皮植皮术全部愈合；42例患者治疗5d～2w，更换VSD材料2次后，创腔变浅行二期缝合后愈合；12例患者行3次VSD 治疗后经植皮术愈合。结论负压封闭引流技术能有效预防创面感染，促进肉芽组织的生长，是治疗皮肤软组织重度损伤的一种有效方法，值得在基层医院推广。
목적：탐토부압봉폐인류술（VSD）재기층골과피부연조직중도손상환자특별시사지부위손상환자중적응용효과。방법2009년9월-2012년10월아원골과대수치적88례사지피부연조직중도손상환자적창상부위진행수술청창후，사용부압봉폐인류병용부료복개전창면。결과10례환자사용V S D치료후행청길환약상구유합；24례환자지속부압인류5d～3w，탁제부료후창면경직접봉합혹취피식피술전부유합；42례환자치료5d～2w，경환VSD재료2차후，창강변천행이기봉합후유합；12례환자행3차VSD 치료후경식피술유합。결론부압봉폐인류기술능유효예방창면감염，촉진육아조직적생장，시치료피부연조직중도손상적일충유효방법，치득재기층의원추엄。
objective:To study VSD treat skin or soft tissue with severe in patients injury of limb parts application effect.Methods:Our bone traumatology department in September 2009 - October 2012 to treat 88 cases of limb skin trauma patients with severe soft tissue injury, use the VSD. Results:10 cases of patients with VSD after change dressings treatment healing;24 patients sustained negative pressure drainage 5 d ~ 3 w, by direct suture or skin grafting al healing; 42 patients in the treatment of 5 d ~ 2 w ,replace 2 times VSD material , and the cavity becomes shal ow secondary suture after healing; 12 cases patients after three times VSD treatment by skin grafting healing; Conclusion:The VSD can effectively prevent wound infection, promote the growth of granulation tissue, is an effective treatment for skin and soft tissure severe injury, is worth popularizing in basic-level hospitals.