Costagliola R, Cantaloube D, Costagliola M, Foyatier J-L
CHU Rangueil, 1, avenue du Professeur-Jean-Pouhlès, 31059 Toulouse cedex, France.
Ann Chir Plast Esthet. 2011 Oct;56(5):484-7. doi: 10.1016/j.anplas.2011.08.010. Epub 2011 Sep 29.
The assessment of physical injury in after-effects of burns is very specific. Indeed, the evolution of burn scars is particular compared to the scarring process in general. The expert needs to know these specific aspects in order to objectively assess the after-effects due to burns, in order to compensate for the loss of autonomy in major burn victims. The assessment has to analyze all the effects, functional and aesthetic, of the after-effects due to burns and has to particularly specify: the mending, which can never be set before one year, the pressure test allowing to check the complete maturation of the scars; the functional disability which results from skin retractions (due to after-effects) on the limbs mobility but which also must consider the burnt skin surface; the aesthetic damage, often important, with a discrimination between hypertrophic and keloid scars; the suffering, always significant in view of specialized and prolonged therapeutics; the sexual damage, often unrecognized in this type of injured people.
烧伤后遗症中身体损伤的评估非常特殊。事实上，与一般的瘢痕形成过程相比，烧伤瘢痕的演变具有特殊性。专家需要了解这些特殊方面，以便客观评估烧伤造成的后遗症，从而对重度烧伤受害者的自主能力丧失进行补偿。评估必须分析烧伤后遗症在功能和美观方面的所有影响，尤其要明确：愈合情况，在一年之前无法确定；压力测试，用于检查瘢痕是否完全成熟；因皮肤挛缩（后遗症所致）对肢体活动产生的功能障碍，但也必须考虑烧伤皮肤面积；美观损害，通常较为严重，需区分增生性瘢痕和瘢痕疙瘩；痛苦，鉴于专门且长期的治疗，痛苦总是很显著；性方面的损害，在这类伤者中常常未被认识到。
