Lazarev A A, Korshunov V F, Germanov V B, Kopenkin S S
Vestn Khir Im I I Grek. 1986 May;136(5):116-20.
Early necrectomy followed by skin plasty allows preserving impaired parts of the hand and working capacity of the patients in posttraumatic necrosis of soft tissues of the hand and fingers. The method of skin plasty and time of its fulfilling should be dependent on the character of injuries, their localisation and degree of necrosis. In the absence of wound infection skin plasty must be fulfilled immediately after necrectomy. In necrosis accompanied by suppuration skin plasty is indicated after preparing the wound surface with vacuum and ultrasonic treatment, controlled abacterial environment. Positive results of reestablishing working capacity were obtained in 88.6% of the patients examined in remote periods after treatment.
早期进行坏死组织切除，随后行皮肤成形术，有助于在手部和手指软组织创伤后坏死的情况下，保留手部受损部位并恢复患者的工作能力。皮肤成形术的方法及其实施时间应取决于损伤的性质、部位和坏死程度。若伤口无感染，应在坏死组织切除后立即进行皮肤成形术。若坏死伴有化脓，则需在对创面进行负压和超声治疗、营造无菌环境后，再行皮肤成形术。在治疗后的远期对患者进行检查，结果显示88.6%的患者恢复工作能力的情况良好。
