- 期刊
Closed Degloving Injuries Results Following Conservative Surgery
閉鎖型剝離傷－保守手術治療之結果
摘要
閉鎖型剝離傷是一種不常見但重要的一種疾病；若處理方式不正確，往往更需進一步的手術治療，而造成住院天數的增加。本院自八十一年一月至八十二年十二月間，共有廿四例閉鎖型剝離傷患者，他們皆接受保守性手術治療，包括：小切開口引流、食鹽水沖洗及加壓包紮治療；廣泛性切開，皮下血腫及壞死組織清除擴創及引流治療，病患皆有滿意的結果。在我們的病例中，超過60%的病患受創於下肢；造成的原因大都由於車禍所造成；受創的面積平均為4.9%(1～12%)總體表面積。用此種保守性手術治療閉鎖性剝離傷患者，受創皮瓣大都可存活，只有二位病患需要再接受植皮手術治療。
關鍵字
無資料並列摘要
Closed degloving wounds are uncommon but important injuries. If they are not treated properly, they may cause a significant morbidity. The theraputic protocol reports the results of a conservative management policy in 24 patients with closed degloving wounds treated during a half year period in our hospital. Traffic accidents are the main cause of the injuries, 60% of which injuried to lower limb. The extent of injury ranged from 1 to 12% (mean 4.9%) of the total body surface area. The volume of blood and necrotic fat evacuated ranged from 20 to 1000 ml (mean 120 ml). The diagnosis of closed degloving wound was missed at initial assessment in the half of patients. A uniform management policy with drainage of the de-gloved area through a small incision followed by compression bandaging was applied. Ultimate flap viability using this method was excellent, and only two of 24 patients required skin grafting.