Eyvaz Kemal, Kement Metin, Balin Salim, Acar Hakan, Kündeş Fikri, Karaoz Alev, Civil Osman, Eser Mehmet, Kaptanoglu Levent, Vural Selahattin, Bildik Nejdet
Department of General Surgery, University of Health Sciences, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul-Turkey.
Ulus Travma Acil Cerrahi Derg. 2018 Sep;24(5):456-461. doi: 10.5505/tjtes.2018.80439.
In this study, we aimed to evaluate the clinical efficacy and safety of negative-pressure wound therapy (NPWT) in the treatment of the patients with electrical burns.
This study was retrospectively performed using a database placed prospectively in the burn center of our hospital. All consecutive patients with electrical burns treated using NPWT at our center between August 2008 and December 2012 were included. The treatment results in our study were grouped as successful or unsuccessful considering the treatment objectives in accordance with therapy indications.
In total, 39 patients were included in our study; of them, 36 (92.3%) were men. The average age was 34.9±9.8 years (range, 17-63 years). The majority of the patients in our study (92.3%) had been exposed to high voltage electricity. The mean total burned body surface area (TBSA) was 19.3±9.8 (range, 4-44). Six patients (15.4%) had TBSAs ≥30%, 31 (79.5%) had third degree burns, and 8 (20.5%) had fourth degree burns. In our study, indications of NPWT included bone and/or tendon exposed deep wounds that are not suitable for early grafting or flap applications owing to the lack of supporting tissue in 27 (69.2%) patients, graft fixation in 8 (20.5%) patients, and secondary grafting following graft loss in 4 (10.3%) patients. The general success rate of NPWT was 90.7% according to indications and treatment objectives in our study.
In the light of our results, NPWT may contribute to the present conventional treatments used in severe electrical burns.
在本研究中，我们旨在评估负压伤口治疗（NPWT）在治疗电烧伤患者中的临床疗效和安全性。
本研究采用前瞻性建立于我院烧伤中心的数据库进行回顾性分析。纳入2008年8月至2012年12月期间在我院中心接受NPWT治疗的所有连续性电烧伤患者。根据治疗指征和治疗目标，将我们研究中的治疗结果分为成功或不成功。
我们的研究共纳入39例患者；其中36例（92.3%）为男性。平均年龄为34.9±9.8岁（范围17 - 63岁）。我们研究中的大多数患者（92.3%）曾接触高压电。平均烧伤总面积（TBSA）为19.3±9.8（范围4 - 44）。6例（15.4%）患者的TBSA≥30%，31例（79.5%）为三度烧伤，8例（20.5%）为四度烧伤。在我们的研究中，NPWT的指征包括27例（69.2%）因缺乏支持组织而不适合早期植皮或皮瓣应用的骨和/或肌腱外露深部伤口、8例（20.5%）患者的植皮固定以及4例（10.3%）患者植皮失败后的二次植皮。根据我们研究中的指征和治疗目标，NPWT的总体成功率为90.7%。
根据我们的研究结果，NPWT可能有助于目前用于严重电烧伤的传统治疗。
