摘要
目的：分析比较削痂和电动磨痂在治疗深Ⅱ度烧伤创面的应用。方法：93例深Ⅱ度烧伤住院患者随机分成两组,一组进行削痂手术,另一组行磨痂手术,观察比较两组患者手术治疗效果。结果：与削痂组创面比较,磨痂组创面愈合时间提前5～6d,且愈合质量好,瘢痕增生轻。从病理上看,磨痂手术能最大限度地保留有活力的组织和皮肤附件。结论：用电动磨痂仪施行的磨痂手术操作简单,易于掌握；对组织损伤小,能充分地保留有活力的真皮组织及皮肤附件；创面再上皮化迅速,缩短愈合时间,减轻病人的负担；创面愈合质量好,瘢痕形成轻或无瘢痕。
Objective.. To compare the application of the tangential excision and eschar electric abrading on the burn wound of deep thickness bums. Methods.93 patients with deep thickness burns in Center of Burns ＆ Plastic and Rehabilitation were randomly assigned into tangential excision group and eschar abrading group. Therapeutic efficacy berween the two groups were compared. Results：Compared with the burn wounds in the operation of tangential excision, it take in advance 56 days to heal on the burn wounds of the operation of eschar abrading, and the quality was well, the hyperplasy of cieatricle was seldom. Considering the pathological section, the operation of eschar abrading could reserve the viable organization and the appendages of the skin utmostly. Conclusion： The operation with the self-made electric equipment of eschar abrading is simple, can be grasped easily by the doctors; the tissue damage is tiny, it can reserve the viable organization and the appendages of the skin sufficiently; epithelizate rapidly, it can shorten the time of healing, lessen the economic burden of patients; it can make the burn wound heal well, the cicatrisation is seldom or not at all.
出处
《中国临床医学》
北大核心
2006年第3期507-509,共3页
Chinese Journal of Clinical Medicine
基金
广西壮族自治区卫生厅科研基金(编号:z2003053)
关键词
磨痂
削痂
深Ⅱ度烧伤
Eschar abrading
Tangential excision
Deep thickness burns
