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目的通过对肢体皮肤撕脱伤治疗方式进行综述,并提出目前该损伤治疗存在的问题及展望研究方向。方法广泛查阅近年国内外有关肢体皮肤撕脱伤治疗方法的文献,并进行总结与分析。结果肢体皮肤撕脱伤治疗关键是及时、准确评估撕脱皮肤的活力和血循环状况,目前治疗肢体皮肤撕脱伤的方法较多,其中VSD技术在皮肤撕脱伤的治疗中具有重要作用,人造皮肤亦开始用于临床治疗皮肤撕脱伤。结论彻底清创、去脂打薄、原位回植是目前治疗皮肤撕脱伤的常规方法 ,联合应用VSD技术有助于皮肤撕脱伤的治疗,人造皮肤可能是未来治疗肢体皮肤撕脱伤的发展趋势。
OBJECTIVE: To summarize the treatment methods of skin avulsion in limbs, and to put forward the current problems and prospect of this injury treatment. Methods Extensive access to the literature on treatment methods of skin avulsion in recent years at home and abroad were summarized and analyzed. Results The key to the treatment of avulsion of limb skin is timely and accurate assessment of avulsion of the avulsed skin and the status of blood circulation. Currently, there are many methods to treat skin avulsion of the limbs, of which VSD plays an important role in the treatment of avulsion of the skin. Skin has also started to be used in clinical treatment of skin avulsion. Conclusions Thorough debridement, defatting and liposuction in situ are the common methods for the treatment of avulsion of the skin. The combination of VSD technology is helpful for the treatment of skin avulsion. The artificial skin may be the future treatment of skin avulsion of limbs The trend of development.