术后皮肤病需要进行整形手术:一篇实用性评论
Gunel Guliyeva1, Jeffrey E Janis1
1From the Department of Plastic and Reconstructive Surgery, The Ohio State University, Columbus, Ohio.
Plastic and reconstructive surgery. Global open
|January 22, 2024
概括
在手术后,术后皮肤质性 (PSPG) 可能会恶化. 整形外科医生必须及早识别PSPG,以防止进一步的伤害,并有效地管理软组织缺陷,尽管缺乏标准的治疗方法.
科学领域:
- 皮肤病学 皮肤病学
- 整形外科 整形外科 整形外科
- 手术并发症 手术并发症
背景情况:
- 皮肤病 (Pyoderma gangrenosum,简称PG) 是一种与免疫功能障碍和皮肤病相关的中性恋性皮肤病.
- 它通常与全身性疾病同时发生或在术后出现.
- 整形外科医生经常处理与PG相关的缺陷,但手术干预可以加剧这种情况.
研究的目的:
- 审查关于手术后性皮肤病 (PSPG) 的文献.
- 突出早期诊断和管理对整形外科医生的重要性.
- 分析用于PSPG的重建技术.
主要方法:
- 在PubMed/Medline数据库 (1958-2022) 中使用关键词"pyoderma gangrenosum"和"手术"进行系统搜索.
- 重建的PSPG案例的选择.
- 包括28名患者,这些患者在各种手术后发展了PG.
主要成果:
- 到PG呈现的平均时间为5.5天,诊断需要17天.
- 诊断依赖于治疗失败后的组织病理学;没有使用评分工具.
- 82.1%的患者进行了皮肤移植,42.9%的患者进行了片重建,21.4%的患者接受了两者.
结论:
- 准确的诊断和预防手术损伤对于管理PSPG至关重要.
- 及时的医疗管理对于改善患者的结果至关重要.
- 虽然重建是可能的,但对于PSPG管理没有标准化的方法.
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