2023 Vol. 39, No. 4

Expert Forums
Discussion on classification and diagnostic nomenclature of burn infection
Luo Gaoxing, Zhan Rixing, Yuan Zhiqiang, Peng Yizhi
2023, 39(4): 301-304. doi: 10.3760/cma.j.cn501225-20221206-00528
Abstract:
Infection is the most common complication after burn injury and one of the leading causes of death in burn patients. Thus, how to effectively prevent the occurrence and development of infection is an important task in treating burns. Till now, there are still many controversies in the clinical defin...
Discussion on surgical treatment mode of diabetic foot wounds
Wei Zairong, Jian Yang
2023, 39(4): 305-310. doi: 10.3760/cma.j.cn501225-20230213-00044
Abstract:
Diabetic foot wounds have a high incidence and uneven therapeutic effect, so it is necessary to explore the suitable treatment mode of diabetic foot wounds. The existing surgical treatment modes for diabetic foot wounds include the multi-disciplinary team (MDT) cooperation mode and the "five-in-one ...
Articles · Surgical Management of Diabetic Foot Wounds
A prospective randomized controlled study of antibiotic bone cement in the treatment of diabetic foot ulcer
Cao Tao, Ji Peng, Zhang Zhi, Xiao Dan, Wang Kejia, Li Na, Li Wen, Jin Guangjun, Hao Tong, Tao Ke
2023, 39(4): 311-318. doi: 10.3760/cma.j.cn501225-20221111-00485
Abstract:
Objective To investigate the clinical effects and related mechanism of antibiotic bone cement in treating diabetic foot ulcer (DFU). Methods A prospective randomized controlled study was conducted. From August 2020 to August 2022, 24 patients with DFU who met the inclusion criteria were admitted t...
Clinical effects of antibiotic bone cement combined with free anterolateral thigh flap in sequential treatment of diabetic foot ulcer
Chen Wei, Chang Shusen, Zhou Jian, Zhang Fang, Yang Chenglan, Nie Kaiyu, Deng Chengliang, Wei Zairong
2023, 39(4): 319-324. doi: 10.3760/cma.j.cn501225-20220628-00267
Abstract:
Objective To investigate the clinical effects of antibiotic bone cement combined with free anterolateral thigh flap in sequential treatment of diabetic foot ulcer (DFU) wounds. Methods A retrospective observational study was conducted. From August 2018 to August 2021, 15 patients with DFU who met ...
Effects of pedicled flap combined with membrane induction technique in repairing foot and ankle wounds in diabetic patients
Guo Xiaofeng, Deng Xinxin, Huang Zhihu, Xue Mingyu, Bu Fanyu
2023, 39(4): 325-329. doi: 10.3760/cma.j.cn501225-20221212-00534
Abstract:
Objective To explore the effects of pedicled flap combined with membrane induction technique in repairing foot and ankle wounds in diabetic patients. Methods A retrospective observational study was conducted. From March 2019 to July 2021, 12 patients with diabetic foot and ankle wounds who met the...
A cross-sectional survey and analysis of the pain status and its influencing factors in diabetic foot ulcer patients
Wang Qian, Zhu Hongjuan, Feng Ying, Chu Wanli, Song Yaoyao
2023, 39(4): 330-336. doi: 10.3760/cma.j.cn501225-20220421-00150
Abstract:
Objective To investigate the pain status in diabetic foot ulcer (DFU) patients and analyze its influencing factors. Methods A single-center cross-sectional survey research method was used. From May 2021 to February 2022, DFU patients who were admitted to the Fourth Medical Center of PLA General Ho...
Original Articles
Morphological study on the transverse branch of lateral femoral circumflex artery based on digital subtraction angiography
Huang Yongtao, Yang Lin, Cao Yang, Liu Yucheng, Gao Qinfeng, Yang Chengpeng, Sun Fengwen, Cheng Junnan, Zhang Tao, Ju Jihui
2023, 39(4): 337-342. doi: 10.3760/cma.j.cn501225-20220727-00315
Abstract:
Objective To summarize the morphological characteristics of the transverse branch of lateral femoral circumflex artery (LFCA) using digital subtraction angiography (DSA) and explore its clinical significance. Methods A retrospective observational study was conducted. From October 2020 to May 2021,...
Effects of three-dimensional computed tomography angiography-assisted free medial sural artery perforator flap in repairing foot wounds
Fang Jun, Zhao Guangzong, Li Huazhuang, Zhang Longqiang, Liang Zhiyong, Li Xueqin
2023, 39(4): 343-349. doi: 10.3760/cma.j.cn501225-20220930-00430
Abstract:
Objective To investigate the effects of three-dimensional computed tomography angiography (3D-CTA)-assisted free medial sural artery perforator flap in repairing foot wounds. Methods A retrospective observational study was conducted. From May 2018 to August 2021, 18 patients with foot soft tissue ...
Analysis of the risk factors of persistent inflammation-immunosuppression-catabolism syndrome in patients with extensive burns
Tang Wenbin, Chen Bin, Ou Shali, Li Xinying, Xiao Kui, Wang Sisi, Li Xiaojian
2023, 39(4): 350-355. doi: 10.3760/cma.j.cn501225-20220214-00028
Abstract:
Objective To investigate the risk factors and treatment outcome of persistent inflammation-immunosuppression-catabolism syndrome (PICS) in patients with extensive burns. Methods A retrospective case series study was conducted. From January 2017 to December 2021, 220 patients with extensive burns w...
Visual analysis of the current research status and development of burn-related coagulation dysfunction
Ma Qimin, Wang Yusong, Hou Wenjia, Liu Xiaobin, Shen Tuo, Zhu Feng
2023, 39(4): 356-363. doi: 10.3760/cma.j.cn501225-20220616-00237
Abstract:
Objective To conduct a visual analysis of the literature on burn-related coagulation dysfunction and to explore the current research status, evolution process, hot topics, and future research trends in burn-related coagulation dysfunction at home and abroad. Methods The bibliometrics method was us...
Original Article·Nursing Column
A cross-sectional survey on the allocation of nursing human resources in burn centers in China
Wang Shujun, Li Fangrong, Lu Hongyan, Chen Yuanyuan, Liu Xinzhu, Chen Lihua, Wang Yanhua, Yan Ziqing, Feng Ping, Wu Ying, Zhang Yan, Shen Chuan'an
2023, 39(4): 364-370. doi: 10.3760/cma.j.cn501225-20220613-00231
Abstract:
Objective To investigate the allocation of nursing human resources in burn centers in China. Methods A cross-sectional survey was conducted. Using a self-designed questionnaire, a survey was carried out from January to March 2022 to investigate the January to December 2021 status of 39 burn center...
Wound Repair
Clinical effects of plantar split-thickness skin grafts in repairing the deep burn wounds in the back and buttocks
Huang Shurun, Su Huiqiang, Wang Yiyong, Liu Jiangtao, Zhang Yong, Zhou Bo, Zhuang Meiping
2023, 39(4): 371-375. doi: 10.3760/cma.j.cn501225-20220426-00158
Abstract:
Objective To explore the clinical effects of plantar split-thickness skin grafts in repairing the deep burn wounds in the back and buttocks. Methods A retrospective observational study was conducted. From January 2011 to February 2022, 98 patients with deep burn who met the inclusion criteria were...
Review · Surgical Management of Diabetic Foot Wounds
Research advances on the application of free flaps in repairing diabetic foot ulcers
Jian Yang, Wei Zairong, Chen Wei, Zhang Yanji, Tang Mingyuan, Zhong Yunxue, Liu Chenxiaoxiao
2023, 39(4): 376-380. doi: 10.3760/cma.j.cn501225-20221216-00539
Abstract:
Free flaps have been successfully used in the repair of diabetic foot ulcers (DFUs), which can reduce amputation rate, maintain normal gait of patients, and improve life quality of patients. However, there are still many challenges in the repair of DFUs with free flaps, and many problems need to be ...
Reviews
Research progress of biomaterials in promoting wound vascularization
Chen Lianglong, Yu Shengxiang, Ma Jun, Gao Yanbin, Yang Lei
2023, 39(4): 381-385. doi: 10.3760/cma.j.cn501225-20220626-00261
Abstract:
Promoting rapid and good vascularization is still a great challenge for the research and development of biomaterials for wound repair. Current studies have shown that wound vascularization is closely related to the pores, components, and channels of biomaterials. Although the research and developmen...
Research advances on the role and mechanism of chitosan-based wound dressing in wound healing
Hu Zonghao, Ayixiemu·Yu sufu, Qu Yue, Xie Jinhong, Yin Lihua
2023, 39(4): 386-390. doi: 10.3760/cma.j.cn501225-20220506-00172
Abstract:
The skin is the first barrier to maintain the stability of internal environment of the body and resist harmful factors of external environment, and is easily damaged because of various external factors. When full-thickness skin defects reach a certain level, it is difficult for the skin to repair it...
Research advances on severe burn infection and cytokine storm
Chen Zhongyi, Hu Shiqiang, Liu Dewu, Zhang Hongyan, Guo Guanghua, Mao Yuangui
2023, 39(4): 391-395. doi: 10.3760/cma.j.cn501225-20220412-00134
Abstract:
Mortality due to severe burns has always been at a high level. A large number of studies have shown that the rapid onset of infectious symptoms and rapid progression of severely burned patients are closely related to the occurrence of cytokine storm. However, in clinical practice, cytokine storm mon...
Research advances on the role of complement system activation in post-burn immunity
Huang Shengyu, Zhu Feng, Guo Guanghua
2023, 39(4): 396-400. doi: 10.3760/cma.j.cn501225-20220726-00313
Abstract:
Immune activation is one of the major factors of secondary injury post burn, and is the main organismal response in the anti-infection process. As an important part of the innate immune response, the complement system is able to induce the activation of immune cells after burns, promote inflammation...