Zhao R, Cao Y Q, Zang C Y, Wang Y B
Department of Burns and Plastic Surgery, Provincial Hospital Affiliated to Shandong University, Ji'nan 250021, China.
Zhonghua Shao Shang Za Zhi. 2018 Mar 20;34(3):187-189. doi: 10.3760/cma.j.issn.1009-2587.2018.03.016.
The process of burn wounds healing includes the removal of necrotic tissue, the hyperplasia of granulation tissue and epithelialization. The removal of necrotic tissue is the first step in dealing with burn wounds. Although there are a variety of adjuvant drugs for removing necrotic tissue, surgical debridement is still the main way of debridement of burn wounds. Surgical debridement of burn wounds includes escharectomy, tangential excision and dermabrasion. Escharectomy and tangential excision have been widely used in clinical practice, while dermabrasion has not been known to the majority of burns colleagues. This article summarizes the clinical application and progress of dermabrasion in burn wounds.
烧伤创面愈合过程包括坏死组织清除、肉芽组织增生和上皮化。清除坏死组织是处理烧伤创面的第一步。尽管有多种辅助药物用于清除坏死组织，但手术清创仍是烧伤创面清创的主要方式。烧伤创面的手术清创包括焦痂切除术、削痂术和磨痂术（皮肤磨削术）。焦痂切除术和削痂术已在临床实践中广泛应用，而磨痂术（皮肤磨削术）大多数烧伤科同行并不了解。本文总结磨痂术（皮肤磨削术）在烧伤创面中的临床应用及进展。
