[1]李翔,李巍△,王利军,等.皮肤牵张术联合抗生素骨水泥治疗四肢软组织缺损18例[J].中国中医骨伤科杂志,2023,31(10):71-73.[doi:10.20085/j.cnki.issn1005-0205.231015]
　LI Xiang,LI Wei,WANG Lijun,et al.18 Cases of Clinical Study on Skin Stretch Technique Combined with Antibiotic Bone Cement in the Treatment of Patients Soft Tissue Defect of Extremities[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(10):71-73.[doi:10.20085/j.cnki.issn1005-0205.231015]
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皮肤牵张术联合抗生素骨水泥治疗四肢软组织缺损18例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第31卷
期数:
2023年10期
页码:
71-73
栏目:
临床报道
出版日期:
2023-10-15

文章信息/Info

Title:
18 Cases of Clinical Study on Skin Stretch Technique Combined with Antibiotic Bone Cement in the Treatment of Patients Soft Tissue Defect of Extremities
文章编号:
1005-0205(2023)10-0071-03
作者:
李翔1; 李巍1△; 王利军1; 曾屹1; 陈巍1; 成勇峰1; 陈振中1
1湘潭市中医医院(湖南 湘潭,411100)
Author(s):
LI Xiang1; LI Wei1△; WANG Lijun1; ZENG Yi1; CHEN Wei1; CHENG Yongfeng1; CHEN Zhenzhong1
1Xiangtan Traditional Chinese Medicine Hospital,Xiangtan 411100,Hunan China.
关键词:
皮肤缺损;  皮肤牵张术;  骨水泥;  感染
Keywords:
skin defects;  skin stretch technique;  bone cement;  infection
分类号:
R274.32
DOI:
10.20085/j.cnki.issn1005-0205.231015
文献标志码:
B
摘要:
目的:探讨皮肤牵张术结合抗生素骨水泥在皮肤及软组织缺损修复中的应用。方法:2019年1月至2022年1月,采用皮肤牵张术结合抗生素骨水泥治疗18例患者皮肤及软组织缺损,取得了良好的效果。结果:18例患者创面经术后持续牵拉7～14 d后闭合,牵拉时间中位数为10 d。18例患者均获随访,随访时间为3～10个月,平均为4.3个月。创缘皮肤线性愈合,瘢痕小,无创缘血运不畅、坏死、皮肤感觉差等并发症。结论:针对肢体开放性损伤合并软组织创面缺损的患者,采用皮肤牵张术结合抗生素骨水泥操作简便,容易掌握,为治疗创伤后皮肤及软组织缺损,或者骨折术后伤口感染、皮肤坏死提供了一种新的方法。
Abstract:
Objective:To investigate the application of skin stretch technique combined with antibiotic bone cement in skin and soft tissue defect repair.Methods:From January 2019 to January 2022,18 patients with skin and soft tissue defects were treated with skin stretch technique combined with antibiotic bone cement,and good results were achieved.Results:In 18 cases,the wound was closed after 714 d of continuous traction,and the median closure was 10 d.All the 18 patients were followed up for 310 months(mean 4.3 months).The skin at the wound edge healed linearly,scar was small,and complications such as poor blood flow,necrosis and poor skin sensation occurred at the non-invasive edge.Conclusion:For patients with open limb injury combined with soft tissue wound defect,skin stretch technique combined with antibiotic bone cement is simple and easy to master,providing a new method for the treatment of skin and soft tissue defect after trauma,wound infection and skin necrosis after fracture.

参考文献/References:

[1] 韩玉卓,李阳,刘冬,等.皮肤牵张术的应用现状与研究进展[J].创伤外科杂志,2020,22(1):69-72.
[2] 苑博,梁海东,王寿宇,等.新型拉杆式即时皮肤扩张器治疗肢体皮肤缺损[J].中国矫形外科杂志,2017,25(4):371-373.
[3] 宋文吉,苑博,赵正南,等.延时皮肤牵拉器在皮肤软组织缺损治疗中的应用[J].中国修复重建外科杂志,2018,32(10):1281-1285.
[4] 胡炜,邵银初,李浩,等.不同皮肤牵张闭合器治疗皮肤软组织缺损的临床研究[J].中国骨伤,2019,32(11):1021-1025.
[5] 吴翔,杨志华,徐晓华.新型皮肤牵张器在压疮创面治疗中的应用[J].浙江创伤外科,2017,22(1):65-66.
[6] 朱占永,赵月强,李爱林,等.TopClosure皮肤牵张闭合器在胸部大面积皮肤缺损创面修复中的临床应用[J].临床外科杂志,2017,25(8):630-633.
[7] 董其强,谷国俊,王礼军,等.改良可调式皮肤牵张闭合器在皮肤及软组织缺损修复中的应用[J].中国修复重建外科杂志,2017,31(12):1481-1484.
[8] 王志强,李智.皮肤持续牵张技术联合负压封闭引流技术治疗深度创面的临床观察[J].中华损伤与修复杂志(电子版),2020,15(1):56-60.
[9] 杨颇,宋开芳,周家顺,等.超声清创技术联合皮肤持续性牵张修复难愈性感染性创面15例[J].中国感染与化疗杂志,2017,17(4):353-355.
[10] 池凯,毋磊,陈龙金,等.评价四肢创面修复中应用皮肤牵张闭合器的效果及预后[J].中国医疗美容,2017,7(3):35-37.
[11] 叶远坚,郭子诚,刘沛辰,等.抗生素骨水泥在肢体开放性损伤伴软组织缺损创面治疗中的疗效观察[J].医学理论与实践,2021,34(4):614-615.

备注/Memo

备注/Memo:
基金项目:湖南省湘潭市2019年指导性科技计划项目(ZDX-SF2019016)
△通信作者 E-mail:771900504@qq.com
更新日期/Last Update: 2023-10-01