Stacy Mitchel R, Dearth Christopher L
Section of Cardiovascular Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut.
DOD-VA Extremity Trauma and Amputation Center of Excellence, Walter Reed National Military Medical Center, Bethesda, Maryland.
Adv Wound Care (New Rochelle). 2017 Jul 1;6(7):241-251. doi: 10.1089/wound.2016.0716.
Military service members are susceptible to traumatic extremity injuries that often result in limb loss. Tremendous efforts have been made to improve medical treatment that supports residual limb function and health. Despite recent improvements in treatment and novel prosthetic devices, many patients experience a wide range of clinical problems within residual limbs that can negatively impact the progress of rehabilitation programs while also impairing functional capacity and overall quality of life. In addition to existing standard imaging modalities that are used for clinical evaluation of patients suffering from traumatic extremity injury, novel noninvasive imaging techniques are in development that may facilitate rapid and sensitive assessment of various aspects of traumatic extremity injuries and residual limb health. Despite recent advances, there remains a clinical need for noninvasive quantitative imaging techniques that are capable of providing rapid objective assessments of residual limb health at the time of initial presentation as well as after various forms of medical treatment. Ongoing development of imaging techniques that allow for assessment of anatomical and physiological characteristics of extremities exposed to traumatic injury should greatly enhance the quality of patient care and assist in optimizing clinical outcomes.
军人容易遭受创伤性肢体损伤，这些损伤常常导致肢体缺失。人们已经付出巨大努力来改善支持残肢功能和健康的医疗治疗。尽管最近在治疗和新型假肢装置方面有所改进，但许多患者的残肢仍存在广泛的临床问题，这些问题会对康复计划的进展产生负面影响，同时还会损害功能能力和整体生活质量。除了用于创伤性肢体损伤患者临床评估的现有标准成像方式外，新型非侵入性成像技术也在开发中，这些技术可能有助于快速、敏感地评估创伤性肢体损伤的各个方面以及残肢健康状况。尽管最近取得了进展，但临床上仍然需要能够在初次就诊时以及各种形式的医疗治疗后对残肢健康进行快速客观评估的非侵入性定量成像技术。正在开发的能够评估遭受创伤性损伤的肢体的解剖和生理特征的成像技术，应能大大提高患者护理质量，并有助于优化临床结果。
