不同初期外科处理方法治疗平时四肢火器伤的应用和比较

探讨平时四肢火器伤初期外科处理方法的应用和改进。方法 :74例平时四肢火器伤患者按照传统法 (彻底清创切除伤道失活组织 )和改良法 (单纯切开引流 )分别进行初期外科处理 ,观察伤口感染和愈合情况。结果 :两种方法伤口感染无统计学差别 ,伤口愈合时间改良法短于传统法 ,且有统计学意义。结论 :改良法较传统法更为安全 ,简单 ,有效 ,具有广泛的适应证 ,值得推广。

DIFFERENT PRIMARY SURGERY TREATMENT FOR CIVILIAN GUNSHOT WOUNDS OF THE EXTREMITY

Objective:To discuss the application and modif ic ation of the primary surgery treatment for the civilian gunshot wounds of the ex tremity.Methods:74 cases were divided randomly into two groups. Group A was treated by the traditional way which emphasised the importance of excision o f the skin margin, generous extension of the wounds Group B was treated by the m odified way of incision and drainage. The rate of infection and healing time was recorded.Results:There was no difference in the rate of infection between two groups. The healing time of group A is longer than that of group B, and has statistic significance.Conclusions:The modified way is more safe, effective and simple than the traditional way in the treatment of civilian gunshot wounds of the extr emity, and should be popularized.