摘要
目的:介绍不同层面手部脱套伤的损伤特点及治疗方式。方法:2003年9月至2011年8月,对我科收治的手部脱套伤患者38例进行临床评估,分别采用皮肤打薄回植术、动静脉吻合回植术、皮肤打薄回植并持续负压封闭引流(VSD)技术;一期清创,持续负压封闭引流,二期行岛状皮瓣,游离皮瓣修复术对患肢进行修复和重建。结果:本组共38例,平均获得3年随访,采用上述方法修复不同层面手部脱套伤收到较好效果。皮肤外形美观,耐摩擦能力强,基本恢复手部功能。结论:手部脱套伤根据脱套层面的特点合理选用治疗方法,多可获得较好效果。
Objective: To retrospectively study the hand degloving injury characteristics and treatment.Methods: Thirty-eight cases of hand degloving injuries at different injury degrees treated from September 2003 to July 2011 were reviewed.Results: The appearance of the skin in all the 38 cases was satisfactory and hand function was good after a three years follow-up.Conclusion: The clinical features of different levels of hand degloving injuries is useful for the treatment.
出处
《武汉大学学报(医学版)》
CAS
北大核心
2012年第1期107-109,共3页
Medical Journal of Wuhan University