肢体皮肤撕脱伤的治疗进展  

TREATMENT PROGRESS OF EXTREMITY SKIN AVULSION

作　　者：成亮[1] 柴益民[1] 

机构地区：[1]上海交通大学附属第六人民医院骨科,上海200233

出　　处：《中国修复重建外科杂志》2010年第6期758-760,共3页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的通过对肢体皮肤撕脱伤治疗方式进行综述,并提出目前该损伤治疗存在的问题及展望研究方向。方法广泛查阅近年国内外有关肢体皮肤撕脱伤治疗方法的文献,并进行总结与分析。结果肢体皮肤撕脱伤治疗关键是及时、准确评估撕脱皮肤的活力和血循环状况,目前治疗肢体皮肤撕脱伤的方法较多,其中VSD技术在皮肤撕脱伤的治疗中具有重要作用,人造皮肤亦开始用于临床治疗皮肤撕脱伤。结论彻底清创、去脂打薄、原位回植是目前治疗皮肤撕脱伤的常规方法 ,联合应用VSD技术有助于皮肤撕脱伤的治疗,人造皮肤可能是未来治疗肢体皮肤撕脱伤的发展趋势。Objective To review the treatment methods of the extremity skin avulsion,and to point out the problems at present as well as to predict the trend of development in this field.Methods Domestic and abroad literature concerning the treatment methods of the extremity skin avulsion in recent years was extensively and thoroughly analyzed.Results The timely and accurate evaluation of viability and blood circulation of avulsed skin was the key to treat extremity skin avulsion.At present,there were many methods to treat extremity skin avulsion and the vacuum sealing drainage（VSD） technology played an important role in the treatment of skin avulsion.Artificial skin had been used to treat skin avulsion.Conclusion The conventional method to treat skin avulsion is rigorous debridement,defatting of the avulsed flap,planting back avulsed skin flap.The combined use of the VSD technology helps skin avulsion treatment.It may be a trend that artificial skin will be used in treating extremity avulsion.

关 键 词：肢体皮肤撕脱伤 损伤机制 治疗进展 

分 类 号：R641[医药卫生—外科学] R622.9[医药卫生—临床医学]