| 清创结合负压封闭引流技术治疗手部高压油漆注射伤 |
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Received:June 29, 2011
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| 作者 | Author | 单位 | Unit | E-Mail |
| 陈庆 |
CHEN Qing |
武汉大学人民医院骨三科,湖北 武汉 430060 |
Department of the 3rd Orthopaedics,People's Hospital of Wuhan University,Wuhan 430060,Hebei,China |
chenqingortho@hotmail.com |
| 刘登胜 |
LIU Deng-sheng |
武汉大学人民医院骨三科,湖北 武汉 430060 |
Department of the 3rd Orthopaedics,People's Hospital of Wuhan University,Wuhan 430060,Hebei,China |
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| 胡巍 |
HU Wei |
武汉大学人民医院骨三科,湖北 武汉 430060 |
Department of the 3rd Orthopaedics,People's Hospital of Wuhan University,Wuhan 430060,Hebei,China |
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| 李亚明 |
LI Ya-ming |
武汉大学人民医院骨三科,湖北 武汉 430060 |
Department of the 3rd Orthopaedics,People's Hospital of Wuhan University,Wuhan 430060,Hebei,China |
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| 刘世清 |
LIU Shi-qing |
武汉大学人民医院骨三科,湖北 武汉 430060 |
Department of the 3rd Orthopaedics,People's Hospital of Wuhan University,Wuhan 430060,Hebei,China |
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| 期刊信息：《中国骨伤》2011年24卷，第10期，第851-853页 |
| DOI：10.3969/j.issn.1003-0034.2011.10.015 |
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目的: 探讨负压封闭引流(VSD)技术对手部高压油漆注射伤创面的修复作用及评价疗效。
方法: 自2005年4月至2010年8月,采用清创结合VSD技术治疗手部高压油漆注射伤14例,年龄23～47岁,平均36.5岁,均为男性,均为左手受伤,拇指5例,食指3例,中指2例,手掌4例。患手肿胀明显,末梢血运差。所有患者在伤后6 h内急诊行清创探查及VSD封闭创面,经3～4次手术,待创面肉芽组织新鲜,无明显炎性渗出后,行植皮(9例)或转移皮瓣(5例)修复创面。
结果: 14例患者均获得随访,时间8～16个月,平均12个月。所有创面均愈合良好。根据TAM功能评定法评价：优7例,良6例,中1例。
结论: 清创结合VSD技术能够有效避免伤口感染,促进肉芽组织生成,有利于创面修复。 |
| [关键词]:手 创伤和损伤 引流术 清创术 |
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| Treatment of high-pressure paint injection injuries of hand with debridement combined with vacuum sealing drainage technique |
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Abstract:
Objective: To explore the effects of debridement combined with vacuum sealing drainage(VSD) technique in treatment of high-pressure paint injection injuries of hand.
Methods: From April 2005 to August 2010,14 patients with high-pressure paint injection injuries of hand were treated with debridement and VSD technique within 6 hours after injury.All the patients were male,ranging in age from 23 to 47 years with an average of 36.5 years.All injuries occurred left hand,thumb injured in 5 cases,index finger in 3 cases,middle finger in 2 cases and palm in 4 cases.Injured hands swelled obviously with poor blood circulation.When the wounds were covered with fresh granulation tissue without inflammatory effusion after operation of 3-4 times,the skingrafting (9 cases) or transfer flap (5 cases) were done on the wounds.
Results: All the patients were followed up from 8 to 16 months with an average of 12 months.All the wounds obtained good healing.Therapeutic effects were estimated according to TAM criteria,7 cases were excellent,6 good and 1 fair.
Conclusion: In high-pressure paint injection injuries of hands,debridement combined with VSD technique can avoid wound infection,promote the growth of granulation tissue.It is beneficial to wound healing. |
| KEYWORDS:Hand Wounds and injuries Drainage Debridement |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 陈庆,刘登胜,胡巍,李亚明,刘世清.清创结合负压封闭引流技术治疗手部高压油漆注射伤[J].中国骨伤,2011,24(10):851~853 |
| 英文格式: | CHEN Qing,LIU Deng-sheng,HU Wei,LI Ya-ming,LIU Shi-qing.Treatment of high-pressure paint injection injuries of hand with debridement combined with vacuum sealing drainage technique[J].zhongguo gu shang / China J Orthop Trauma ,2011,24(10):851~853 |
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