不确定深度烧伤损伤——探索不确定性。
Indeterminate-Depth Burn Injury-Exploring the Uncertainty.
机构信息
Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
出版信息
J Surg Res. 2020 Jan;245:183-197. doi: 10.1016/j.jss.2019.07.063. Epub 2019 Aug 14.
Abstract
In the management of indeterminate-depth burns (IDB), common challenges include the ability to predict time to healing and regenerative potential, risk of burn wound progression, and timing of excision. Several technologies exist to aid in determination of the depth of a burn injury, yet surgeons continue to rely on the naked eye-visual assessment-as the standard of care. Newer and improved imaging technologies are closing in on the goal of inexpensive, accurate, noninvasive modalities for depth determination. Likewise, management of IDB is becoming more sophisticated as newer wound healing technologies continue to be developed. By describing what is meant by "indeterminate" depth burns, and their associated challenges, we hope to stimulate interest in research to develop new therapies and management strategies. The ultimate goal is to treat IDB without the need for autografts.
摘要
在处理不确定深度烧伤（IDB）时，常见的挑战包括预测愈合时间和再生潜力的能力、烧伤创面进展的风险以及切除的时机。有几种技术可用于辅助确定烧伤损伤的深度，但外科医生仍继续依赖肉眼视觉评估作为标准护理。较新和改进的成像技术正在接近实现经济实惠、准确、非侵入性的深度确定模式的目标。同样，随着新的伤口愈合技术的不断发展，IDB 的管理也变得更加复杂。通过描述“不确定”深度烧伤的含义及其相关挑战，我们希望激发人们对开发新疗法和管理策略的研究兴趣。最终目标是在无需使用自体移植物的情况下治疗 IDB。
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