Steenvoorde Pascal, van Doorn Louk P, Jacobi Cathrien E, Oskam Jacques
Department of Surgery, Rijnland Hospital Leiderdorp, Netherlands.
Am J Hosp Palliat Care. 2007 Aug-Sep;24(4):308-10. doi: 10.1177/1049909107302300.
Success rates of Maggot Debridement Therapy (MDT) differ, but range from 70% to 80%. In this article it is argued that wound closure is not always feasible and is not always the aim of the treatment. A patient is described in whom the intent of MDT was not wound closure, but infection removal, reduction of odor, and eventually prevention of a below knee amputation. This succeeded: the pain was diminished, the odor reduced, and the wound showed signs of healing. Still the patient died. In maggot literature, as with other wound treatments, outcome is recorded as closed or as failed. In our opinion, MDT has other indications besides wound closure.
蛆虫清创疗法（MDT）的成功率各不相同，但在70%至80%之间。本文认为，伤口闭合并不总是可行的，也并非总是治疗的目标。本文描述了一位患者，其接受MDT的目的并非伤口闭合，而是清除感染、减少异味，并最终预防膝下截肢。这一治疗取得了成功：疼痛减轻，异味减少，伤口显示出愈合迹象。然而，患者仍然死亡。在蛆虫疗法的文献中，与其他伤口治疗一样，结果记录为伤口闭合或治疗失败。我们认为，除伤口闭合外，MDT还有其他适应证。
