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Zhao Ran,Wang Yibing.The LENS four-element diagnostic method and WDSR scoring and grading system applicable to the discipline of wound repair[J].Chin J Burns Wounds,2025,41(12):1-8.DOI: 10.3760/cma.j.cn501225-20250809-00353.
Citation: Zhao Ran,Wang Yibing.The LENS four-element diagnostic method and WDSR scoring and grading system applicable to the discipline of wound repair[J].Chin J Burns Wounds,2025,41(12):1-8.DOI: 10.3760/cma.j.cn501225-20250809-00353.

The LENS four-element diagnostic method and WDSR scoring and grading system applicable to the discipline of wound repair

doi: 10.3760/cma.j.cn501225-20250809-00353
Funds:

General Program of National Natural Science Foundation of China 82472563, 82302817

Youth Science Fund of National Natural Science Foundation of China 82402897

Shandong Provincial Natural Science Foundation ZR2023QH291

Social Science Planning Research Project of Shandong Province 21CTQJ08

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  • Corresponding author: Wang Yibing, Email: ybwang@sdfmu.edu.cn
  • Received Date: 2025-08-09
    Available Online: 2025-12-08
  • With the acceleration of population aging, various acute and chronic wounds in the elderly have become an important burden on global public health. The establishment and development of the wound repair discipline have become an urgent need of the times. Currently, the diagnosis of various wound diseases is descriptive and heterogeneous, which objectively limits academic exchanges and the development of the discipline. This article proposed the LENS four-element diagnostic method that is universally applicable to focal wounds, including location, etiology, nature, and severity. It is expected to comprehensively and accurately reflect the condition of the wounds and provide valuable information for wound treatment, disease grading, and prognosis evaluation. This article proposed the WDSR scoring and grading system, which selects four indicators for scoring, including wound width, depth, sinus, and recurrence. The system grades the wounds according to the total score (grades Ⅰ-Ⅳ), which can quantitatively assess the severity of the local wounds. It is advocated that the wound repair discipline with conditions pilots the LENS four-element diagnostic method and the WDSR scoring and grading system to promote the standardized development of the wound repair discipline.

     

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  • [1]
    SenCK.Human wound and its burden: updated 2020 compendium of estimates[J].Adv Wound Care (New Rochelle),2021,10(5):281-292.DOI: 10.1089/wound.2021.0026.
    [2]
    国家卫生健康委员会办公厅国家卫生健康委办公厅关于加强体表慢性难愈合创面(溃疡)诊疗管理工作的通知2019-12-022025-08-09http://www.nhc.gov.cn/yzygj/s7659/201912/602716f0471944b8b63b0adabe4546df.shtml

    国家卫生健康委员会办公厅. 国家卫生健康委办公厅关于加强体表慢性难愈合创面(溃疡)诊疗管理工作的通知 [EB/OL].(2019-12-02) [2025-08-09]. http://www.nhc.gov.cn/yzygj/s7659/201912/602716f0471944b8b63b0adabe4546df.shtml.

    [3]
    付小兵.建设规范化和标准化创面修复科在中国的实践[J].中华创伤杂志,2020,36(1):3-5.DOI: 10.3760/cma.j.issn.1001-8050.2020.01.002.
    [4]
    BowersS,FrancoE.Chronic wounds: evaluation and management[J].Am Fam Physician,2020,101(3):159-166.
    [5]
    SilvaJLG, Oliveira KumakuraARS, ZanchettaFC, et al. Clinical simulation for teaching of wound evaluation and treatment[J]. Clin Simul Nurs, 2020, 38:5-13.DOI: 10.1016/j.ecns.2019.09.003.
    [6]
    MortonLM,PhillipsTJ.Wound healing and treating wounds: differential diagnosis and evaluation of chronic wounds[J].J Am Acad Dermatol,2016,74(4):589-605; quiz 605-606.DOI: 10.1016/j.jaad.2015.08.068.
    [7]
    HøylandSA,HolteKA,IslamK,et al.A cross-sector systematic review and synthesis of knowledge on telemedicine interventions in chronic wound management-implications from a system perspective[J].Int Wound J,2023,20(5):1712-1724.DOI: 10.1111/iwj.13986.
    [8]
    DissemondJ,BültemannA,GerberV,et al.The term mixed leg ulcer should no longer be used today[J].Dermatologie (Heidelb),2023,74(7):555-559.DOI: 10.1007/s00105-023-05129-2.
    [9]
    RayalaBZ.Skin ulcers: prevention and diagnosis of pressure, venous leg, and arterial ulcers[J].FP Essent,2020,499:11-18.
    [10]
    KimuraS,TsujiT.Mechanical and immunological regulation in wound healing and skin reconstruction[J].Int J Mol Sci,2021,22(11):5474.DOI: 10.3390/ijms22115474.
    [11]
    PutriIL,AdzalikaLB,PramanasariR,et al.Negative pressure wound therapy versus conventional wound care in cancer surgical wounds: a meta-analysis of observational studies and randomised controlled trials[J].Int Wound J,2022,19(6):1578-1593.DOI: 10.1111/iwj.13756.
    [12]
    姚泽欣,付小兵,程飚. 慢性创面愈合新理念:姑息性创面治疗的研究进展[J]. 中华烧伤杂志,2020,36(8):754-757. DOI: 10.3760/cma.j.cn501120-20190929-00388.
    [13]
    TangX,ShiW,QianY,et al.Effect of suture closure and staple closure on postoperative wound complications in patients undergoing knee replacement surgery: a meta-analysis[J].Int Wound J,2024,21(1):e14372.DOI: 10.1111/iwj.14372.
    [14]
    MendemS, FarazMAA, RaoKL. A case report on necrotizing fasciitis in a hemiplegic patient following an intra-muscular injection[J]. Int J Community Med Public Health, 2020,7(9):3689. DOI: 10.18203/2394-6040.ijcmph20203945.
    [15]
    AllawF,WehbeS,KanjSS.Necrotizing fasciitis: an update on epidemiology, diagnostic methods, and treatment[J].Curr Opin Infect Dis,2024,37(2):105-111.DOI: 10.1097/QCO.0000000000000988.
    [16]
    曾帅丹,杨磊.各种组学分析在体表慢性难愈合创面中的研究进展[J].中华烧伤与创面修复杂志,2023,39(1):75-80.DOI: 10.3760/cma.j.cn501225-20220216-00030.
    [17]
    中华医学会内分泌学分会,中国内分泌代谢病专科联盟.糖尿病足溃疡创面治疗专家共识(2024)[J].中华内分泌代谢杂志,2024,40(7):565-569.DOI: 10.3760/cma.j.cn311282-20240625-00281.
    [18]
    SyautaD, Mulawardi, Prihantono, et al. Risk factors affecting the degree of diabetic foot ulcers according to Wagner classification in diabetic foot patients[J]. Medicina Clínica Práctica, 2021, 4Supplement 1: 100231. DOI: 10.1016/j.mcpsp.2021.100231.
    [19]
    Vera-CruzPN,PalmesPP,TonoganL,et al.Comparison of WIFi, University of Texas and Wagner classification systems as major amputation predictors for admitted diabetic foot patients: a prospective cohort study[J].Malays Orthop J,2020,14(3):114-123.DOI: 10.5704/MOJ.2011.018.
    [20]
    SantemaTB,LenselinkEA,BalmR,et al.Comparing the Meggitt-Wagner and the University of Texas wound classification systems for diabetic foot ulcers: inter-observer analyses[J].Int Wound J,2016,13(6):1137-1141.DOI: 10.1111/iwj.12429.
    [21]
    JalilianM,Ahmadi SarbarzehP,OubariS.Factors related to severity of diabetic foot ulcer: a systematic review[J].Diabetes Metab Syndr Obes,2020,13:1835-1842.DOI: 10.2147/DMSO.S256243.
    [22]
    BrocklehurstJD.The validity and reliability of the SINBAD classification system for diabetic foot ulcers[J].Adv Skin Wound Care,2023,36(11):1-5.DOI: 10.1097/ASW.0000000000000050.
    [23]
    JesusFRM, IbrahimA, Rodriguez-RamirezN, et al. The Latin American Saint Elian wound score system (SEWSS) for the triage of the diabetic foot attack[J]. Cir Cir, 2021, 89(5): 679-685. DOI: 10.24875/CIRU.20000283.
    [24]
    GandhiC, KadamP, KamepalliV, et al. PEDIS grading and its role in diabetic foot ulcer management[J]. Int Surg J, 2019, 6(7): 2548-2552. DOI: 10.18203/2349-2902.isj20192990.
    [25]
    BeckertS,WitteM,WickeC,et al.A new wound-based severity score for diabetic foot ulcers: a prospective analysis of 1,000 patients[J].Diabetes Care,2006,29(5):988-992.DOI: 10.2337/diacare.295988.
    [26]
    HalászBG,AlvesPJP,O'ConnorT,et al.EPUAP pressure ulcer curriculum[J].J Wound Care,2023,32(9):598-606.DOI: 10.12968/jowc.2023.32.9.598.
    [27]
    National pressure ulcer advisory panel. NPUAP pressure ulcer stages/categories[J]. Ostomy Wound Manage, 2007:53.
    [28]
    LurieF,PassmanM,MeisnerM,et al.The 2020 update of the CEAP classification system and reporting standards[J].J Vasc Surg Venous Lymphat Disord,2020,8(3):342-352.DOI: 10.1016/j.jvsv.2019.12.075.
    [29]
    PassmanMA,McLaffertyRB,LentzMF,et al.Validation of Venous Clinical Severity Score (VCSS) with other venous severity assessment tools from the American Venous Forum, National Venous Screening Program[J].J Vasc Surg,2011,54(6Suppl):2S-9S.DOI: 10.1016/j.jvs.2011.05.117.
    [30]
    中国老年医学学会烧创伤分会,中华医学会组织修复与再生分会,中国康复医学会再生医学与康复专业委员会,等.放射性皮肤损伤的诊断和治疗专家共识(2024版)[J].中华烧伤与创面修复杂志,2024,40(8):701-712.DOI: 10.3760/cma.j.cn501225-20240126-00033.
    [31]
    Becerro-RecioD,SerratJ,López-GarcíaM,et al.Study of the cross-talk between Fasciola hepatica juveniles and the intestinal epithelial cells of the host by transcriptomics in an in vitro model[J].Vet Parasitol,2023,320:109981.DOI: 10.1016/j.vetpar.2023.109981.
    [32]
    SimpsonKJ,SelforsLM,BuiJ,et al.Identification of genes that regulate epithelial cell migration using an siRNA screening approach[J].Nat Cell Biol,2008,10(9):1027-1038.DOI: 10.1038/ncb1762.
    [33]
    蔡程浩,韩春茂,王新刚.创面外部微环境因素对创面愈合影响的研究进展[J].中华烧伤与创面修复杂志,2024,40(5):489-494.DOI: 10.3760/cma.j.cn501225-20230827-00067.
    [34]
    AlsabekMB,Abdul AzizAR.Diabetic foot ulcer, the effect of resource-poor environments on healing time and direct cost: a cohort study during Syrian crisis[J].Int Wound J,2022,19(3):531-537.DOI: 10.1111/iwj.13651.
    [35]
    GuptaS,AndersenC,BlackJ,et al.Management of chronic wounds: diagnosis, preparation, treatment, and follow-up[J].Wounds,2017,29(9):S19-S36.
    [36]
    马先,唐佳俊,吴敏洁,等.内镜技术治疗慢性窦道(腔)创面诊疗规范(试行版)[J].中华烧伤杂志,2019,35(12):833-838.DOI: 10.3760/cma.j.issn.1009-2587.2019.12.001.
    [37]
    赵陈雨瑶,张玉珅,杨占杰,等.肠瘘继发坏死性筋膜炎病例的临床资料分析及死亡危险因素筛查[J].中华烧伤与创面修复杂志,2024,40(2):141-150.DOI: 10.3760/cma.j.cn501225-20230923-00088.
    [38]
    KanadashviliO,BelykhE,SoborovM,et al.Necrotic fasciitis as a complication of acute destructive appendicitis[J].Georgian Med News,2021(311):21-27.
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