软组织覆盖严重感染。

Soft Tissue Coverage for Severe Infections.

机构信息

Philadelphia Hand to Shoulder Center/Jefferson, Philadelphia, PA, USA; Orthopedic Care Physicians Network, 675 Paramount Drive, Suite 205, Raynham, MA 02767, USA.

Plastic and Reconstructive Surgery, Philadelphia Hand to Shoulder Center, Thomas Jefferson University Hospital, 834 Chestnut Street, Suite G-114, Philadelphia, PA 19107, USA.

出版信息

Hand Clin. 2020 Aug;36(3):369-379. doi: 10.1016/j.hcl.2020.03.011.

DOI:10.1016/j.hcl.2020.03.011

PMID:32586464

Abstract

Coverage of soft tissue defects in the upper extremity caused by infection and debridement of infected tissue is a challenging problem. Treatment starts with prompt identification and eradication of infection, including antibiotics and extensive debridement. Optimizing the patient's medical and nutritional status can facilitate eradication of infection and wound healing. Coverage of soft tissue defects caused by infection and debridement demands consideration of many factors. Options include healing by primary or secondary intention, skin grafts, local flaps, and distant flaps. Negative pressure wound therapy and acellular dermal matrices can also aid in coverage.

摘要

上肢感染和清创引起的软组织缺损的覆盖是一个具有挑战性的问题。治疗始于及时识别和消除感染，包括使用抗生素和广泛清创。优化患者的医疗和营养状况可以促进感染的消除和伤口愈合。感染和清创引起的软组织缺损的覆盖需要考虑许多因素。选择包括一期或二期愈合、植皮、局部皮瓣和远处皮瓣。负压伤口治疗和脱细胞真皮基质也可有助于覆盖。