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除负压伤口治疗外，采用纵向切开术治疗伴有跟腱外露的难治性伤口。

Longitudinal slit procedure in addition to negative pressure wound therapy for a refractory wound with exposed achilles tendon.

作者信息

Ohata Erika, Yuzuriha Shunsuke, Mishima Yoshito, Matsuo Kiyoshi

机构信息

Department of Plastic and Reconstructive Surgery, Shinshu University School of Medicine, Matsumoto, Japan.

Department of Plastic and Reconstructive Surgery, Nagano Red Cross Hospital, Nagano, Japan.

出版信息

Eplasty. 2015 Mar 18;15:e9. eCollection 2015.

PMID:25848445
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4370208/
Abstract

OBJECTIVE

This case report reviews features of negative pressure wound therapy, particularly for the exposed Achilles tendon, and describes an additional effective procedure.

METHODS

An 87-year-old man presented with a soft-tissue defect measuring 3×5 cm with the exposed Achilles tendon as a sequela of deep burn. The condition of his affected leg was ischemic because of arteriosclerosis. We used negative pressure wound therapy and made 2 longitudinal slits penetrating the tendon to induce blood flow from the ventral side to the dorsal surface.

RESULTS

By this combination therapy, the surface of the exposed Achilles tendon was completely epithelialized and the tendon was spared without disuse syndrome.

CONCLUSIONS

The authors conclude that this combination therapy is useful for covering the widely exposed tendon in aged patients.

摘要

目的

本病例报告回顾负压伤口治疗的特点，尤其是针对暴露的跟腱，并描述一种额外的有效方法。

方法

一名87岁男性因深度烧伤后遗症出现一处3×5厘米的软组织缺损，跟腱暴露。由于动脉硬化，其患侧腿部存在缺血情况。我们采用负压伤口治疗，并在肌腱上做了两条纵向切口以促使血液从腹侧流向背侧。

结果

通过这种联合治疗，暴露的跟腱表面完全上皮化，肌腱得以保留且未出现废用综合征。

结论

作者得出结论，这种联合治疗对于覆盖老年患者广泛暴露的肌腱很有用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef2c/4370208/b05d19749375/eplasty15e09_fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef2c/4370208/62d19658acb7/eplasty15e09_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef2c/4370208/70632cbfb70a/eplasty15e09_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef2c/4370208/5a5d25afb3ad/eplasty15e09_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef2c/4370208/b05d19749375/eplasty15e09_fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef2c/4370208/62d19658acb7/eplasty15e09_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef2c/4370208/70632cbfb70a/eplasty15e09_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef2c/4370208/5a5d25afb3ad/eplasty15e09_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef2c/4370208/b05d19749375/eplasty15e09_fig4.jpg

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Plast Reconstr Surg Glob Open. 2014 Jul 9;2(6):e170. doi: 10.1097/GOX.0000000000000108. eCollection 2014 Jun.
2
Combined use of negative pressure wound therapy and Integra® to treat complex defects in lower extremities after burns.负压伤口治疗与Integra®联合应用于治疗烧伤后下肢复杂缺损。
Ann Burns Fire Disasters. 2013 Jun 30;26(2):90-3.
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Comparison of the Effects of Different Negative Pressure Wound Therapy Modes-Continuous, Noncontinuous, and With Instillation-on Porcine Excisional Wounds.
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Eplasty. 2013 Oct 1;13:e51. eCollection 2013.
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Different surgical treatment of post-burn trophic ulcers of the plantar surface in foot burns.足部烧伤后足底营养性溃疡的不同手术治疗。
Burns. 2011 Dec;37(8):1439-43. doi: 10.1016/j.burns.2011.07.003. Epub 2011 Sep 15.
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Avoiding calvarial defects in a Harrison's class IV thermally injured skull.避免哈里森Ⅳ类热烧伤颅骨的颅骨缺陷。
Burns. 2011 May;37(3):480-3. doi: 10.1016/j.burns.2010.11.007. Epub 2010 Dec 16.
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