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骨关节损伤创面修复的61例分析

Review of Method in Plerosising Wound of Joint Injury
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摘要 目的减少截肢率,尽最大限度保留与恢复肢体功能。方法外伤导致骨关节损伤外露61例,按清创植皮修复与皮瓣修复分组,比较两组治疗方案的平均住院时间、伤后手术时间、愈合后功能及截肢率。结果皮瓣修复组的平均住院时间缩短,伤后手术时间提前,愈合后功能良好,截肢率明显降低(P<0.05)。结论对外伤致骨关节损伤外露创面,皮瓣修复创面,能最大限度恢复肢体功能,保全肢体。 Objective This review aims to reduce the rate of ampuitated extremity and to save the function of extremities. Methods Deriding the 61 cases into two groups which were treated in our department with their joints exposed after injury,one group was treated with the method of debridement and skingrafting, the other with the method of skin flap. Then compare the two groups in ways of average stay in hospital,days to have operation,function after healing and the rate of ampuitated extremity. Results Compared with the other,the group treated with the meth- od of using skin flap showed shorter average stay in hospital,fewer days waiting to operating, better function after healing and lower rate of ampuitated extremity. Conclusion Using skin flap plerosising wound with exposed joint is a better method to save the extremities and reserve the function.
出处 《江西医学院学报》 CAS 2005年第5期81-82,84,共3页 Acta Academiae Medicinae Jiangxi
关键词 骨关节 烧伤 肢体功能 皮瓣修复 bone joint burn extremities function skin flap plerosis
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