[组织水肿对手术治疗炎症效果的影响]。

Klinichna khirurgiia Pub Date : 2017-01-01
S E Podpryatov, S S Podpryatov, V P Korchak, V V Salata, V V Ivakha, I O Belousov
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引用次数: 0

摘要

探讨组织水肿及其消除在炎症和创面愈合过程中的意义。分析了68例软组织炎症坏死患者的治疗结果,其中下位65例,上位3例。47例为急性病程,18例为慢性病程。36例患者(对照组)进行局部和全身抗菌治疗,并根据适应证进行手术干预;32例(主组)在此基础上加用弹力绷带绑扎四肢。在充分的抗菌治疗和外科卫生的化脓性坏死灶的背景下,组织的紧密挤压和水肿消除伴随着急性炎症的浸润和渗出阶段的停止,促进炎症增殖阶段的活跃过程。在慢性皮肤缺损的治疗中,紧挤压的应用促进了肉芽轴的分解,伤口内肉芽的生长和边界上皮的形成。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[IMPACT OF THE TISSUES OEDEMA ON THE RESULT OF SURGICAL TREATMENT OF INFLAMMATION].

Significance of the tissues oedema and its elimination in the course of inflammation and the wound healing was investigated. There were analyzed the results of treatment of 68 patients, suffering inflammatory and necrotic affection of soft tissues, including 65 – a lower one, 3 – an upper. In 47 observations the affection course was an acute, while in 18 – chronic. In 36 patients (control group) a local and systemic antibacterial therapy were conducted, and in accordance to indications – surgical interventions; in 32 (main group) this treatment was added with tight bandaging of the extremity, using elastic bandage. Tight squeezing of tissues with the oedema elimination on background of an adequate antibacterial therapy and surgical sanation of purulent-necrotic focus is accompanied by arrest of infiltrative and exudative stages of an acute inflammation, promotes an active course of the inflammation proliferative stage. While treatment of chronic cutaneous defect, the application of tight squeezing have promoted the granulating shaft resolution, the granulation growth in the wound and its boundary epithelization.

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