Choi Mark, Panthaki Zubin Jal
Miller School of Medicine, the University of Miami, Miami, Florida 33136, USA.
J Craniofac Surg. 2008 Jul;19(4):1056-60. doi: 10.1097/SCS.0b013e318175f4f9.
Mortality from burns has significantly declined during the last few decades. The decline in mortality is attributed to number of factors that improved over the years including the surgical technique of tangential excision. Since its introduction, the procedure has been under continuous scrutiny in efforts to determine the efficacy of the procedure. Tangential excision must be performed with careful attention to blood loss, patient body temperature, and viable tissue in order to be successful. The procedure has shown signs of improvement of the more conservative methods of burn treatment. The results, however, have some differing efficacy among the different body areas. It has been indicated that tangential excision provides better cosmetic results in facial burns. For hand burns, however, the results have not been significantly better than the conservative methods of treatment.
在过去几十年中，烧伤死亡率显著下降。死亡率的下降归因于多年来有所改善的多种因素，包括削痂手术技术。自该手术引入以来，一直在持续审查其效果。进行削痂手术时必须密切关注失血情况、患者体温和存活组织，以确保手术成功。该手术已显示出比更保守的烧伤治疗方法有所改进。然而，不同身体部位的治疗效果存在差异。有研究表明，削痂手术对面部烧伤能提供更好的美容效果。然而，对于手部烧伤，其效果并不比保守治疗方法有显著改善。
