[下肢慢性伤口的评估与手术治疗]
[Evaluation and surgical treatment for chronic wound of leg and foot].
作者信息
Yao Qing-jun, Hu Da-hai, Dong Mao-long, Xu Ming-da, Tao Ke, Wang Hong-tao, Xie Song-tao, Zhou Qin, Chen Bi
机构信息
Centre of Burns , Xijing Hospital, the Fourth Military Medical University , Xi'an 710032 , PR China.
出版信息
Zhonghua Shao Shang Za Zhi. 2007 Feb;23(1):29-31.
OBJECTIVE
To investigate the optimal operation method for the management of various chronic wounds in legs and feet.
METHODS
Fifty-one chronic wounds were evaluated according to infection, inflammatory response, and distribution in different areas of the leg and foot. Preoperative treatment was given accordingly, then transposition of skin flap, skin grafting, or amputation was performed. The healing rate after single session operation and average hospitalization were statistically analyzed.
RESULTS
The wound healing rate after single session operation was 86. 3% , the average hospital stay was (17. 8 +/- 2. 1) days, and the appearance and function of the leg and foot after operation was satisfactory.
CONCLUSION
The appropriate preoperative treatment and operation method conforming to the wound location and evaluation are of vital importance in the management of chronic wounds in the leg and foot. Operation is one of the most effective ways to repair chronic wounds in the leg and foot, and it can shorten the wound healing process and restore the function.
目的
探讨下肢和足部各种慢性伤口的最佳手术治疗方法。
方法
根据感染、炎症反应以及在下肢和足部不同区域的分布情况对51例慢性伤口进行评估。相应地进行术前治疗，然后行皮瓣转移、植皮或截肢手术。对单次手术的愈合率和平均住院时间进行统计学分析。
结果
单次手术的伤口愈合率为86.3%，平均住院时间为（17.8±2.1）天，术后下肢和足部的外观及功能良好。
结论
合适的术前治疗以及符合伤口位置和评估结果的手术方法对于下肢和足部慢性伤口的治疗至关重要。手术是修复下肢和足部慢性伤口最有效的方法之一，可缩短伤口愈合进程并恢复功能。
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