Journal of Medicine and Life Science

Institute for Medical Science (제주대학교 의과학연구소)
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Review of negative-pressure wound therapy

음압 창상 처치(Negative pressure wound therapy)에 대한 문헌적 고찰

  • You, Ju Lee (Jeju National University School of Medicine) ;
  • Kang, Jae Kyoung (Department of Plastic and Reconstructive Surgery, Jeju National University Hospital)
  • 유주리 (제주대학교 의학전문대학원 의학과) ;
  • 강재경 (제주대학교병원 성형외과)
  • Received : 2018.08.28
  • Accepted : 2018.11.04
  • Published : 2018.12.31
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Abstract

Advances in medical technology has enabled better management of complicated and chronic wounds. Negative-pressure wound therapy (NPWT) is a novel dressing technique that uses negative pressure to drain exudates and blood from wounds. NPWT increases local blood flow and promotes reduction of edema and wound healing and is suitable for a variety of wounds. It is associated with few adverse effects and shows excellent efficacy and cost-effectiveness. NPWT promotes rapid growth of granulation tissue and wound contraction; thus, it is more advantageous than general dressings as it reduces the size skin of grafts or flaps required for repair, and patients with chronic wounds can be treated as outpatients. We investigated the general usage and mechanism of NPWT, its clinical applications and adverse effects.

NPWT는 90년대 이후 많은 연구가 이루어지며 발전해왔다. 이 기술은 사용하기에 간단하고 다양한 상처에 적용할 수 있고 효용성과 비용-효과가 뛰어나며 부작용이 적다. 따라서 NPWT를 일반적인 드레싱 대신에 사용하면 육아조직의 빠른 성장과 상처 수축을 통해 피부 이식이나 피판이 필요한 부위를 줄일 수 있고 봉합이 불가했던 부위를 가능하게 하므로 창상 환자에 대한 의료 비용을 감소시키고 만성 창상 환자가 입원하지 않고 움직이면서 창상 관리가 가능하도록 할 수 있는 유용한 방법이다.

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References

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