Zhang P H, Zhang Y K, Liang P F
Department of Burns and Plastic Surgery, Xiangya Hospital, Central South University, Changsha 410008, China.
Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2025 Jun 20;41(6):509-515. doi: 10.3760/cma.j.cn501225-20250119-00028.
After craniotomy, the surgical site is prone to develop refractory wounds, which seriously affects the patient's quality of life and significantly increases the medical cost. Clinical studies indicate that the pathogenic factors of such wounds are extremely diverse, their formation mechanism is complex, and their clinical treatment is extremely difficult. In this paper, iceberg analysis is applied to the diagnosis and treatment of refractory wounds after craniotomy. Based on domestic and international literature and clinical practice, combined with preoperative image examination results and intraoperative exploration findings, we provided an in-depth discussion on the causes of wound formation, comprehensively analyzed the pathogenic factors affecting wound healing, and shared the clinical diagnosis and treatment experience in this aspect. Based on the iceberg theory, we propose precise debridement measures and targeted effective repair strategies for this type of refractory wounds.
开颅术后，手术部位易形成难治性伤口，严重影响患者生活质量，显著增加医疗费用。临床研究表明，此类伤口的致病因素极为多样，其形成机制复杂，临床治疗极具难度。本文将冰山分析应用于开颅术后难治性伤口的诊治。基于国内外文献及临床实践，结合术前影像检查结果和术中探查发现，我们对伤口形成原因进行了深入探讨，全面分析了影响伤口愈合的致病因素，并分享了这方面的临床诊治经验。基于冰山理论，我们针对此类难治性伤口提出了精准清创措施和有针对性的有效修复策略。
