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手部创面的分类与处理
Hits: 1490   Download times: 1091   Received:January 21, 1999    
作者Author单位UnitE-Mail
宋修军 SONG Xiu jun 青岛大学医学院附属青岛市立医院,山东青岛266011 Qingdao Municipal Hospital,Medical College of Qingdao University Shandong Qingdao,266011  
吴鸿昌 WU Hong chang 青岛大学医学院附属青岛市立医院,山东青岛266011 Qingdao Municipal Hospital,Medical College of Qingdao University Shandong Qingdao,266011  
曲永明 QU Yong ming 青岛大学医学院附属青岛市立医院,山东青岛266011 Qingdao Municipal Hospital,Medical College of Qingdao University Shandong Qingdao,266011  
张国庆 青岛大学医学院附属青岛市立医院,山东青岛266011 Qingdao Municipal Hospital,Medical College of Qingdao University Shandong Qingdao,266011  
周伦 青岛大学医学院附属青岛市立医院,山东青岛266011 Qingdao Municipal Hospital,Medical College of Qingdao University Shandong Qingdao,266011  
期刊信息:《中国骨伤》2000年13卷,第7期,第406-408页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:探讨手部创面的分类及处理原则。

方法:600例手部创面患者据其创面的不同采取不同的治疗方法。

结果:一次手术修复成功540例,二次手术或换药愈合60例。

结论:手部创面可依其原因、深度、性质、范围四方面进行分类。尽早手术覆盖创面,选择适宜的覆盖物,避免形成挛缩线,减少瘢痕形成,兼顾骨关节、肌腱、神经及血供的重建需要,进行一期重建或为二期重建创造条件,早期有效的功能锻炼并辅以理疗,均是处理手部创面的要点。
[关键词]:  创伤  治疗  分类法  
 
The classification and treatment of the wound of hand
Abstract:

Objective:To explore the classification and treatment principles of the wound of hand.

Methods:600 cases of the wound of hand were treated with different methods according to the kinds of wound.

Results:In the 600 cases,the wound was healed after operation in one setting in 540,after two settings in 60

Conclusion: The classification was decided according to the etiology,depth,character and extent of the wound.The principles of treatment included early operation for the coverage of wound surface,selection of adequate covering tissues,avoidance of contracture line and scar tissue formation.In the primary surgical treatment,the management of bones and joints,tendons,nerve ends and the possible blood supply should provide favorable foundation of late reconstruction or revision operation.Early effective exercises combined with physiotherapy are also important to obtain favorable results.
KEYWORDS:Hand  Trauma  Therapy  Classification
 
引用本文,请按以下格式著录参考文献:
中文格式:宋修军,吴鸿昌,曲永明,张国庆,周伦.手部创面的分类与处理[J].中国骨伤,2000,13(7):406~408
英文格式:SONG Xiu jun,WU Hong chang,QU Yong ming.The classification and treatment of the wound of hand[J].zhongguo gu shang / China J Orthop Trauma ,2000,13(7):406~408
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