J Med Life Sci > Volume 15(2); 2018 > Article
Journal of Medicine and Life Science 2018;15(2):56-61.
DOI: https://doi.org/10.22730/jmls.2018.15.2.56    Published online January 3, 2019.
음압 창상 처치에 대한 문헌적 고찰
,

Review of negative-pressure wound therapy
Ju Lee You, Jae Kyoung Kang
Student of Medical course, Jeju National University School of Medicine, Jeju, Korea
Department of Plastic and Reconstructive Surgery, Jeju National University Hospital, Jeju, Korea
Correspondence:  Jae Kyoung Kang, Email: yoyo9906@naver.com
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 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.
의료기술이 발달함에 따라 과거보다 복잡하고 만성적인 창상이 많아지고 있다. 이러한 창상을 새롭게 접근하는 NPWT(Negative-pressure wound therapy)는 음압을 걸어 창상에서 나오는 삼출물(exudate)이나 혈액을 제거하는 드레싱 방법이다. 이 방법은 국소적으로 혈류를 증가시키고 부종 감소 및 상처 치유를 촉진할 수 있다. NPWT는 간편하게 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 만성 창상 환자가 입원하지 않고 창상 관리가 가능하도록 할 수 있다. 이 논문에서는 NPWT의 일반적 사용법과 메커니즘을 알아보고 임상적인 적용 부위와 부작용에 대해 소개하고자 한다.
Key Words: Negative-pressure, wound, therapy
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