Pape S A, Skouras C A, Byrne P O
Royal Victoria Infirmary, NE1 4LP, Newcastle upon Tyne, UK.
Burns. 2001 May;27(3):233-9. doi: 10.1016/s0305-4179(00)00118-2.
This is the first report of an evaluation of the use of a laser Doppler imager (LDI) scanner in the assessment of burn depth in patients. It is based on a 6-month, prospective audit of 76 burns of intermediate depth. Clinical and LDI assessments of burn wound depth were recorded at 48-72 h post-injury. Histological confirmation of depth was obtained from those burns requiring surgery. A healing time of less than 21 days was taken as confirmation of the injury being an superficial dermal burn. The accuracy of LDI in the assessment of burn depth was 97%, compared with 60-80% for established clinical methods. This audit confirms that LDI is a very accurate measurement tool for the assessment of burn wound depth. We recommend that all burns of intermediate depth should be analysed in this way in order to ensure appropriate management of the burn, to avoid unnecessary surgery and to reduce hospital stay and costs.
这是关于使用激光多普勒成像仪（LDI）扫描仪评估患者烧伤深度的首次报告。它基于对76例中度深度烧伤进行的为期6个月的前瞻性审计。在受伤后48 - 72小时记录烧伤创面深度的临床和LDI评估。从需要手术的烧伤中获得深度的组织学确认。愈合时间少于21天被视为损伤为浅表真皮烧伤的确认。LDI评估烧伤深度的准确性为97%，而既定临床方法的准确性为60 - 80%。此次审计证实LDI是评估烧伤创面深度的非常准确的测量工具。我们建议所有中度深度烧伤均应以这种方式进行分析，以确保对烧伤进行适当管理，避免不必要的手术，并减少住院时间和费用。
