| 创伤及烧伤后慢性溃疡恶变的早期诊断与治疗 |
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| 引用本文： | 张东臣,咎慧敏,丁红敏. 创伤及烧伤后慢性溃疡恶变的早期诊断与治疗[J]. 中国烧伤创疡杂志, 1999, 0(2) |
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| 作者姓名： | 张东臣 咎慧敏 丁红敏 |
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| 作者单位： | 河南省安阳市人民医院!455000(张东臣)，河南省安阳地区医院(咎慧敏)，河南省安阳市职防所(丁红敏) |
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| 摘 要： | 目的：通过8例创伤及烧伤后慢性溃疡恶变的早期诊断与治疗的介绍，提高对于经久不愈的溃疡及易于破溃而不稳定的挛缩瘢痕，要想到溃疡或瘢痕恶变的可能性的认识，以使尽早诊断和治疗；方法：对经久不愈的溃疡或瘢痕，在不激惹局部组织的情况下取活检，一旦确诊恶变，即刻手术治疗。结果：本组8例术后伤口均一期愈合。经2－4年随访，其中7例未见病灶转移，另1例褥疮恶变患者，手术半年后因心脑严重疾病而死。结论：凡临床上遇到久治不愈的慢性皮肤病损和易于破溃而不稳定的挛缩瘢痕，均有恶变的可能，要密切观察，及时将溃疡和瘢痕一次彻底切除。均能取得较好效果。
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| 关 键 词： | 创伤 溃疡恶变 诊断 治疗 |
Early Diagnosis and Treatment of Chronic Ulcer Canceration |
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| Zhang Dongcheng,et al.. Early Diagnosis and Treatment of Chronic Ulcer Canceration[J]. The Chinese Journal of Burns Wounds & Surface Ulcers, 1999, 0(2) |
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| Authors: | Zhang Dongcheng et al. |
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| Abstract: | This paper introduces the experience in the diagnosis and treatment of 8 cases with chronic ulcer canceration post traumatic injury or burn. The possibility of the canceration of refractory ulcer or contracted scar should be carefully recognized.Biopsy was done of the local lesion tissue,samples were taken in a non-irritating way. When canceration was observed, surgical operation was immediately performed. The 8 cases had their wounds healed by first intention. After followed-up for 2 to 4 years, no metastasis was seen in 7 cases. 1 case died of cardio-cerebral disease. |
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