开放性小腿皮肤撕脱伤临床诊疗指南(2024版)  

Clinical guideline for the diagnosis and treatment of open skin avulsion injuries of the lower leg(version 2024)

作　　者：张浩[1] 李文军[2] 郑宪友[3] 朱庆棠[4] 陈伟[5] 白祥军 陆声 谢昀[8] 陈华 罗刚 王欣[11] 何晓清 于腾波 喻爱喜[1] 张建政 谢肇 唐举玉[16] 陈振兵[17] 赵广跃 苏佳灿 毕龙 王天兵[21] 潘振宇[1] 中华医学会创伤学分会 中国医师协会显微外科医师分会 Zhang Hao;Li Wenjun;Zheng Xianyou;Zhu Qingtang;Chen Wei;Bai Xiangjun;Lu Sheng;Xie Yun;Chen Hua;Luo Gang;Wang Xin;He Xiaoqing;Yu Tengbo;Yu Aixi;Zhang Jianzheng;Xie Zhao;Tang Juyu;Chen Zhenbing;Zhao Guangyue;Su Jiacan;Bi Long;Wang Tianbing;Pan Zhenyu;Chinese Society of Traumatology,Chinese Medical Association;Chinese Association of Microsurgeons,Chinese Medical Doctor Association(Zhongnan Hospital of Wuhan University,Wuhan 430071,China;Beijing Jishuitan Hospital,Beijing 100035,China;Sixth People′s Hospital Affiliated to Shanghai Jiao Tong University,Shanghai 201103,China;First Affiliated Hospital of Sun Yat‑sen University,Guangzhou 510080,China;Third Hospital of Hebei Medical University,Shijiazhuang 050051,China;Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China;First People′s Hospital of Yunnan Province,Kunming 650034,China;First Affiliated Hospital of Fujian Medical University,Fuzhou 350005,China;First Medical Center of PLA General Hospital,Beijing 100039,China;Second Affiliated Hospital of Army Medical University,Chongqing 400037,China;Ningbo 6th Hospital,Ningbo 315040,China;12920th Hospital of Joint Logistics Support Force of PLA,Kunming 650032,China;Qingdao Municipal Hospital(Group),Qingdao 266072,China;Fourth Medical Center of PLA General Hospital,Beijing 100048,China;First Affiliated Hospital of Army Medical University,Chongqing 400038,China;Xiangya Hospital Affiliated to Central South University,Changsha 410008,China;Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China;Xi′an People′s Hospital(Xi′an Fourth Hospital),Xi′an 710004,China;Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China;Xijing Hospital Affiliated to Air Force Medical University,Xi′an 710032,China;Peking University People′s Hospital/National Center for Trauma Medicine,Beijing 100044,China;不详)

机构地区：[1]武汉大学中南医院,武汉430071 [2]北京积水潭医院,北京100035 [3]上海交通大学附属第六人民医院,上海201103 [4]中山大学附属第一医院,广州510080 [5]河北医科大学第三医院,石家庄050051 [6]华中科技大学同济医学院附属同济医院,武汉430030 [7]云南省第一人民医院,昆明650034 [8]福建医科大学附属第一医院,福州350005 [9]中国人民解放军总医院第一医学中心,北京100039 [10]陆军军医大学第二附属医院,重庆400037 [11]宁波市第六医院,宁波315040 [12]中国人民解放军联勤保障部队第九二〇医院,昆明650032 [13]青岛市市立医院(集团),青岛266072 [14]中国人民解放军总医院第四医学中心,北京100048 [15]陆军军医大学第一附属医院,重庆400038 [16]中南大学湘雅医院,长沙410008 [17]华中科技大学同济医学院附属协和医院,武汉430022 [18]西安市人民医院(西安市第四医院),西安710004 [19]上海交通大学医学院附属新华医院,上海200092 [20]空军军医大学西京医院,西安710032 [21]北京大学人民医院/国家创伤医学中心,北京100044 [22]不详

出　　处：《中华创伤杂志》2024年第12期1071-1081,共11页Chinese Journal of Trauma

基　　金：湖北省财政厅学科建设项目(YYXKNLJS2024004)。

摘　　要：小腿皮肤撕脱伤是临床常见损伤,容易导致小腿皮肤坏死及感染,对患者下肢外观和功能产生较大影响。然而,开放性小腿皮肤撕脱伤的发生率最高,常合并多处组织损伤,若诊治不当可造成小腿皮肤软组织缺损伴骨外露甚至骨缺损,严重危害患者生命健康。为了正确认识开放性小腿皮肤撕脱伤、实现对患者的精准诊疗、改善预后,中华医学会创伤学分会和中国医师协会显微外科医师分会组织相关领域专家,基于循证医学证据,制订《开放性小腿皮肤撕脱伤临床诊疗指南(2024版)》,就开放性小腿皮肤撕脱伤的诊断、治疗、术后康复提出16条推荐意见,为其临床诊疗提供指导。Skin avulsion injuries of the lower leg are common in clinical practice,which can easily lead to skin necrosis and infection of the lower leg,and have a significant impact on the appearance and function of the lower limb.Among them,the open avulsion injury has the highest incidence and is often accompanied by multiple tissue injuries.Therefore,improper diagnosis and treatment may cause skin and soft tissue defects of the lower leg combined with bone exposure or even bone defects,seriously impairing patients′life and health.In order to have a better understanding of the open skin avulsion injury of the lower leg,achieve precise diagnosis and treatment and improve prognosis,the Chinese Society of Traumatology of Chinese Medical Association and the Chinese Association of Microsurgeons of Chinese Medical Doctor Association organized experts in the related fields to formulate Clinical guideline for the diagnosis and treatment of open skin avulsion injuries of the lower leg(version 2024)based on evidence‑based medicine principles.A total of 16 recommendations were proposed on the diagnosis,treatment,postoperative rehabilitation of open lower leg skin avulsion injury,so as to provide a reference for its diagnosis and treatment.

关 键 词：腿 皮肤 伤口愈合 诊疗准则 撕脱伤 

分 类 号：R658.3[医药卫生—外科学]