Hoeksema Henk, Baker Rose D, Holland Andrew J A, Perry Travis, Jeffery Steven L A, Verbelen Jozef, Monstrey Stan
Department of Plastic & Reconstructive Surgery and Burn Centre, Ghent University Hospital, Belgium.
Centre for Operational Research and Applied Statistics, University of Salford, Salford M5 4WT, UK.
Burns. 2014 Nov;40(7):1274-82. doi: 10.1016/j.burns.2014.04.024. Epub 2014 Jul 1.
INTRODUCTION: Laser Doppler imaging (LDI) provides early accurate determination of wound healing potential. LDI can scan large areas of up to 2500 cm2 within 2 min. This duration may require additional sedation in a mobile, uncooperative child. In five burn centres a faster Laser Doppler Line Scanner (LDLS) was assessed. This new imager scans 300 cm2 in 4s with potential benefit for patients and operators. The aim of this study was to assess the accuracy and convenience of the LDLS and to compare this with an established LDI imager. METHODS: Outpatients and admitted patients were included. LDI and LDLS images were obtained between 2 and 5 days post burn (PB). Photographs and records of wound and healing were obtained on day of scan and at 14 and 21 days PB. This provided data on three categories of burn wounds: healing within 14 days, 14-21 days and not healed within 21 days. RESULTS: The analysis included 596 burn areas from 204 burns patients. An accuracy of 94.2% was found with use of the LDLS compared with 94.4% for the original LDI imager. CONCLUSIONS: The high accuracy of the new line-scan imager was comparable to that of the traditional LDI. Its size and mobility enabled easier ward and outpatient use. The higher scan speed was particularly beneficial for scans in paediatric patients.
引言:激光多普勒成像(LDI)能早期准确测定伤口愈合潜力。LDI可在2分钟内扫描高达2500平方厘米的大面积区域。对于活动的、不合作的儿童,这段时间可能需要额外的镇静措施。在五个烧伤中心对一种更快的激光多普勒线扫描仪(LDLS)进行了评估。这种新型成像仪在4秒内可扫描300平方厘米,对患者和操作人员可能有益。本研究的目的是评估LDLS的准确性和便利性,并将其与一种已确立的LDI成像仪进行比较。 方法:纳入门诊患者和住院患者。在烧伤后(PB)2至5天获取LDI和LDLS图像。在扫描当天以及烧伤后14天和21天获取伤口及愈合情况的照片和记录。这提供了三类烧伤伤口的数据:14天内愈合、14至21天愈合以及21天内未愈合。 结果:分析包括来自204例烧伤患者的596个烧伤区域。使用LDLS的准确率为94.2%,而原始LDI成像仪的准确率为94.4%。 结论:新型线扫描成像仪的高准确性与传统LDI相当。其尺寸和移动性便于在病房和门诊使用。更高的扫描速度对儿科患者的扫描尤为有益。
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