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中华损伤与修复杂志(电子版) ›› 2019, Vol. 14 ›› Issue (02) : 85 -90. doi: 10.3877/cma.j.issn.1673-9450.2019.02.002

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毁损性创面的治疗进展
魏在荣1,(), 王达利1, 黄广涛1   
  1. 1. 563000 遵义医科大学附属医院烧伤整形科
  • 收稿日期:2019-02-05 出版日期:2019-04-01
  • 通信作者: 魏在荣
  • 基金资助:
    国家自然科学基金(81560315,81660323,81660325,81560313); 贵州省临床医学(创面修复)中心(黔科合[2016]支撑2910号); 遵义市创新人才团队(遵市科人才[2018]9号)

Progress in the treatment of destructive wounds

Zairong Wei1,(), Dali Wang1, Guangtao Huang1   

  1. 1. Department of Burns and Plastic Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi 563000, China
  • Received:2019-02-05 Published:2019-04-01
  • Corresponding author: Zairong Wei
  • About author:
    Corresponding author: Wei Zairong, Email:
引用本文:

魏在荣, 王达利, 黄广涛. 毁损性创面的治疗进展[J/OL]. 中华损伤与修复杂志(电子版), 2019, 14(02): 85-90.

Zairong Wei, Dali Wang, Guangtao Huang. Progress in the treatment of destructive wounds[J/OL]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2019, 14(02): 85-90.

毁损性创面目前尚没有一个明确的定义,临床上常常将由各种原因所致的皮肤、皮下组织缺损,伴有一定程度结构缺损及功能障碍甚至伴有深部组织较大范围的结构破坏者,通过简单治疗方法难以治愈的创面称之为毁损性创面。毁损性创面具有治疗难度大、周期长、预后不理想等特点。本文就毁损性创面的治疗进展进行总结,简述目前临床上常见的治疗方法,特别是特殊类型穿支皮瓣在毁损性创面修复中具有重要作用。结合笔者科室经验,我们认为毁损性创面应该以"创面外科整合治疗"的模式进行治疗。

There is still not a widely recognized definition of destructive wound. Clinically, skin and subcutaneous tissue defects caused by various reasons, accompanied by a certain degree of structural defects and dysfunction, and even a large degree of structural destruction of deep tissues, the wounds that are difficult to cure by simple treatment are called destructive wound. The destructive wounds have the characteristics of high treatment difficulty, long cycle and unsatisfactory prognosis. In this review, we will discuss the progress of treatment of destructive wounds, and briefly summary the current clinically common treatment methods, especially using special types of perforator flaps to repair of destructive wound. Based on the clinical experience of the author′s department, we believe that the destructive wound should be treated with the "integrated treatment of wound surgery" model.

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