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논문 기본 정보

자료유형
학위논문
저자정보

인용남 (충북대학교, 충북대학교 대학원)

지도교수
이석우
발행연도
2017
저작권
충북대학교 논문은 저작권에 의해 보호받습니다.

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이 논문의 연구 히스토리 (2)

초록· 키워드

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Purpose: Facial scars are a main complaint of patients who had undergone suture in the emergency department. Therefore, effective techniques for minimizing scar formation are required. W-plasty is a widely used method of scar correction. It has been performed to change the scar direction or divide it into multiple segmented scars. This method can be applied in the initial stage of wound repair in the emergency department. In this study, we aimed to investigate the effectiveness of direct application of W-plasty to the wound in simultaneously accomplishing the aforementioned objectives.
Methods: From June 2012 to June 2014, we performed either simple debridement or W-plasty for facial laceration in 31 patients. In the patients in the simple debridement group, the excision was made along the laceration margin. In the patients in the W-plasty group, the excision was made within the W-form predesigned margin of the laceration. We evaluated the prognosis by using the Stony Brook scar evaluation scale (SBSES).
Results: Among 31 patients, 15 (48.4%) underwent simple debridement and 16 (51.6%) underwent W-plasty. The median SBSES score was 4 (IQR, 3?4) in the simple debridement group and 5 (IQR, 5?5) in W-plasty group, indicating a significant difference between the two groups (p < 0.001).
Conclusion: We experienced good results of direct W-plasty application to wound lacerations in terms of minimal scar formation. Thus, for patients with facial lacerations, we suggest that W-plasty application to the wound debridement is more effective than the classic simple debridement.

목차

Ⅰ. 서 론 1
Ⅱ. 대상과 방법 3
1. 대상 군 선정 3
2. 시술방법 3
3. 흉터 평가 5
4. 결과 분석 7
Ⅲ. 결 과 8
1. 대상환자 일반적 특성 8
2. 내원 시 열상의 특징 8
3. 합병증 12
4. 흉터 평가 결과 12
Ⅳ. 고 찰 15
Ⅴ. 결 론 18
참고문헌 19

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