Jiang Zheng-Ying, Liu Ming-Zhuo, Fu Zhong-Hua, Liao Xin-Cheng, Guo Guang-Hua
Zheng-Ying Jiang, MD, is a Burn Surgeon and Wound Repair Consultant; Ming-Zhuo Liu, PhD, MD; Zhong-Hua Fu, MD; Xin-Cheng Liao, MD, is Burn Surgeon and Wound Repair Consultant and Assistant Professor, Medical College of Nanchang University; Guang-Hua Guo, PhD, MD, is the Director of the Wound Repair Center and Chief Physician, Department of Burns, and a Professor, Medical College of Nanchang University, and the Chairman of Wound Repair Association, and Vice Chairman of the Chinese Burn Association; all at the Center of Wound Repair, First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.
Adv Skin Wound Care. 2018 Nov;31(11):1-4. doi: 10.1097/01.ASW.0000546391.73806.85.
With aging populations and the increased incidence of cerebrovascular disease, diabetes, and other diseases, more and more patients suffer from pressure injuries. Pressure injuries are often difficult to heal because of the presence of sinus tracts, which make it difficult to clean and change dressings. Sinus wounds are common in patients with pressure injuries, but also occur after abdominal wall incision and in patients who have experienced a physical trauma that created a wound. It is difficult for clinicians to observe, evaluate, and repair sinus wounds because of the small surface defect and large and deep basement of each wound. This article reviews existing assessment methods and treatments for sinus wounds and proposes a new evaluation method and treatment (three-dimensional reconstruction and endoscopic techniques) to further improve treatment and provide better quality of care for patients with this type of wound.
随着人口老龄化以及脑血管疾病、糖尿病等疾病发病率的上升，越来越多的患者遭受压疮之苦。由于存在窦道，压疮往往难以愈合，这使得清洁和换药变得困难。窦道伤口在压疮患者中很常见，但也会出现在腹壁切口后以及经历过造成伤口的身体创伤的患者身上。由于每个伤口的表面缺损小而基底大且深，临床医生很难观察、评估和修复窦道伤口。本文综述了现有的窦道伤口评估方法和治疗方法，并提出了一种新的评估方法和治疗方法（三维重建和内镜技术），以进一步改善治疗效果，为这类伤口的患者提供更好的护理质量。
