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中华损伤与修复杂志(电子版) ›› 2023, Vol. 18 ›› Issue (06) : 528 -532. doi: 10.3877/cma.j.issn.1673-9450.2023.06.014

综述

皮肤撕脱伤撕脱皮瓣活力早期评估与修复的研究进展
朴广昊, 李屹洲(), 刘瑞, 赵建民, 王凌峰   
  1. 010050 呼和浩特,内蒙古医科大学附属医院骨科
    014010 包头,内蒙古烧伤医学研究所
  • 收稿日期:2023-05-31 出版日期:2023-12-01
  • 通信作者: 李屹洲
  • 基金资助:
    内蒙古自治区自然科学基金(2021BS08008)

Research progress in early assessment of avulsive flap vitality and repair treatment for skin avulsion injury

Guanghao Piao, Yizhou Li(), Rui Liu, Jianmin Zhao, Lingfeng Wang   

  1. Department of Orthopedics, Affiliated Hospital of Inner Mongolia Medical University, Huhehot 010050, China
    Burn Research Institute of Inner Mongolia, Baotou 014010, China
  • Received:2023-05-31 Published:2023-12-01
  • Corresponding author: Yizhou Li
引用本文:

朴广昊, 李屹洲, 刘瑞, 赵建民, 王凌峰. 皮肤撕脱伤撕脱皮瓣活力早期评估与修复的研究进展[J]. 中华损伤与修复杂志(电子版), 2023, 18(06): 528-532.

Guanghao Piao, Yizhou Li, Rui Liu, Jianmin Zhao, Lingfeng Wang. Research progress in early assessment of avulsive flap vitality and repair treatment for skin avulsion injury[J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2023, 18(06): 528-532.

皮肤撕脱伤形成复杂而难以处理的创面,临床上多采用清创及有活力的撕脱皮瓣原位缝合,同时借助其他辅助治疗逐步修复创面。皮肤撕脱伤常继发感染,处理策略需依据损伤部位及撕脱皮瓣的活力而决定。然而,目前尚缺乏可靠的方法早期准确预测撕脱皮瓣活力及界定其坏死范围。分子影像学技术提供了新的诊断方向,相关技术也将转化为临床应用。本文旨在探讨皮肤撕脱伤撕脱皮瓣组织坏死机理,总结撕脱皮瓣活力早期评估与修复的研究进展,为临床诊治提供参考。

Skin avulsion injury forms a complex and difficult wound. Clinically, debridement and dynamic avulsion flap are used in situ, and the wound is gradually repaired with the help of other auxiliary treatments. Skin avulsion is often secondary to infection, and the treatment strategy is based on the injury site and the vitality of the avulsed flap. However, reliable methods for early and accurate prediction of avulsion flap vitality and defining the scope of necrosis are lacking. Molecular imaging techniques offer new diagnostic directions, and the technologies will translate into clinical applications. This paper discusses the mechanism of tissue necrosis of skin avulsion flap, summarizes the research progress in early vitality assessment and repair of avulsion flap, and provides a reference for clinical diagnosis and treatment.

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