Diagnosis and treatment strategies of chronic radiation ulcers
10.3760/cma.j.cn501225-20240308-00091
- VernacularTitle:慢性放射性溃疡的诊疗策略
- Author:
Yuming SHEN
1
;
Yungang HU
Author Information
1. 首都医科大学附属北京积水潭医院烧伤科,北京 100035
- Keywords:
Radiotherapy;
Skin ulcer;
Radiation injuries;
Debridement;
Myocutaneous flap;
Practice patterns
- From:
Chinese Journal of Burns
2024;40(6):501-506
- CountryChina
- Language:Chinese
-
Abstract:
With the increase of radiotherapy and various interventional therapies for tumor, the number of patients with chronic radiation ulcers is increasing gradually. Chronic radiation ulcers mostly involve the deep subcutaneous layers, accompanied by fibrosis of the surrounding skin. The ulcers persist and develop progressively and irreversibly. It is difficult to achieve good curative effects by routine dressing change and skin grafting, seriously affecting the patients' quality of life. This article systematically discusses the pathogenesis, clinical characteristics, pathological changes, wound assessment, and repair strategies of chronic radiation ulcers to provide a reference for the clinical diagnosis and treatment of chronic radiation ulcers.