肢体软组织损伤的伤情评估和治疗理念及要点  

Certain key points for assessment and treatment of soft tissue injury of the limbs

作　　者：宋涛[1] 从飞 Song Tao;Cong Fei(Department of Orthopedics and Microsurgery,Honghui Hospital,Xi'an Jiaotong University College of Medicine,Xi’an 710054,China)

机构地区：[1]西安交通大学附属红会医院骨显微修复外科,710054

出　　处：《中华创伤杂志》2021年第8期679-682,共4页Chinese Journal of Trauma

摘　　要：肢体软组织损伤复杂,常伴有血管损伤,处理不当便会带来严重残疾、截肢等灾难性后果肢体软组织损伤的评估标准多,但是缺乏统一。而准确的伤情评估是治疗的基础,也是临床难点。治疗方案也存在一定争议:针对同一伤情,行Ⅰ期修复还是Ⅱ期修复仍有不同意见;采用传统阶梯修复方式还是穿支皮瓣修复方式也有争议。笔者就软组织损伤的特点及评估、治疗理念和治疗要点进行讨论,为肢体软组织损伤的临床治疗提供参考。Limbs’soft tissue injury is complex,often accompanied by vascular injury.Improper treatment will bring disastrous consequences including serious disability even amputation.Numerous evaluation criteria are available for limbs'soft tissue injury,hut there is no unified standard.Accurate injury assessment is not only the basis of treatment but also a clinical difficulty.Treatment regimes are controversial,for example,different opinions on repair al stage I or stage II and on repair using traditional stair-step method or perforator flap when treating the same injury.The authors have a discussion on soft tissue injury with regards to its characteristics and assessment,Ireatment concepl and treatment points,so as to provide references for the treatment of limbs'soft tissue injury.

关 键 词：软组织损伤 四肢 修复外科手术 

分 类 号：R68[医药卫生—骨科学]