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[采用物理方法影响组织治疗深度冻伤的手术清创经验]

[Experience with surgical necrectomy for deep frostbitis using physical means to influence the tissue].

作者信息

Movchan K N, Kovalenko A V, Zinov'ev E V, Shutkin A V, Sidorenko V A, Donskov V V

出版信息

Vestn Khir Im I I Grek. 2011;170(1):36-40.

PMID:21506352
Abstract

The efficiency of the methods of necrectomy for deep frostbite was analyzed according to the data of outcomes of surgical treatment of 272 patients with cold injury. It was shown that dissection of necrotic tissue in deep frostbite using modern physical techniques (electrosurgical, radiosurgical and argon-plasma dissector) improved immediate results of surgical treatment (due to decreased intraoperative blood loss, frequency of suppuration, cases of amputation, time of hospitalization) and optimized the wound process (by reducing the microbial contamination of the wounds) and accelerated the proliferative phase of regeneration.

摘要

根据272例冻伤患者的外科治疗结果数据,对深部冻伤坏死组织切除方法的有效性进行了分析。结果表明,采用现代物理技术(电外科、放射外科和氩等离子体解剖器)切除深部冻伤的坏死组织,改善了手术治疗的近期效果(由于术中出血量减少、化脓频率、截肢病例、住院时间缩短),优化了伤口处理过程(通过减少伤口的微生物污染),并加速了再生的增殖阶段。

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Vestn Khir Im I I Grek. 2011;170(1):36-40.
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