摘要
目的探讨毁损性烧伤截肢术的特点及方法。方法回顾统计了近13年24例次(27个肢体)毁损性烧伤截肢术,对毁损性烧伤截肢适应证、截肢水平的选择、手术方法进行了分析。结果毁损性烧伤截肢术致伤原因以电烧伤为主,其次为热压伤和火焰烧伤。截肢适应证包括:肢体完全缺血坏死;组织严重损伤无法修复;修复后外形差且无功能;伤肢继发严重感染危及患者生命等情况。截肢水平要达到截肢部位的组织应能达到满意愈合的前提下,尽可能地保留残肢长度。结论毁损性烧伤采取截肢术要严格评估截肢利弊,慎重选择,严格执行截肢术操作规范,选择最佳的截肢平面,使截肢残端能较好适应安装假肢,为患者顺利回归社会角色创造条件。
Objective To investigate the disfiguring burns amputation features and method.Methods Retrospective statistics for nearly 13 years in 24 cases（27 limbs） of destructive burns amputation,disfiguring burns on amputation indication,selection of amputation level,operation method were analyzed.Results The main causes of destructive burns amputation is electrical burns,followed by hot crush injury and flame burn.Amputation indications include： completely ischemic necrosis of limb;serious damage can not be repaired;bad shape and non-function after repair;the injured limb secondary to severe infection with life threatening situation.Amputation level to achieve the amputation site organization should be able to heal satisfactorily,as far as possible to retain the stump length.Conclusion The disfiguring burns to take amputation must be evaluated the pros and cons critically,carefully selected,strictly implement of amputation operation specification,choose the best amputation level.It makes the amputation stump to adapt to the prosthetics better.That creates condition for patients returning to society character successfully.
出处
《中国医药指南》
2012年第33期9-10,共2页
Guide of China Medicine
基金
河北省卫生厅医学科学研究重点
项目编号07440
关键词
毁损性烧伤
截肢
Disfiguring burns
Amputation
