Lipatov K V, Kanorskiĭ I D, Farkhat F A
Khirurgiia (Mosk). 2004(6):42-5.
Two main approaches to surgical treatment were studied in 114 patients with deep frost bites of the extremities. First - early necrectomy with subsequent local treatment of wounds and their surgical closure on the final stage. Second - long-term conservative treatment until formation of demarcation line and limitation of necrotic tissues with subsequent surgical treatment including their resection and simultaneous formation of the stump of the extremity. It is demonstrated that active surgical policy has significant advantages over expectant one as evident from reduce time of treatment and less number of postoperative pyonecrotic complications (21,7% vs 78,4%).
对114例四肢深度冻伤患者的两种主要手术治疗方法进行了研究。第一种——早期坏死组织切除术，随后对伤口进行局部处理，并在最后阶段进行手术闭合。第二种——长期保守治疗，直至分界线形成且坏死组织受限，随后进行手术治疗，包括切除坏死组织并同时形成肢体残端。结果表明，积极的手术策略比保守策略具有显著优势，治疗时间缩短，术后脓性坏死并发症数量减少（21.7%对78.4%）。
