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使用智能手机应用程序评估猫科患者伤口愈合过程的临床益处 - 案例报告。

Clinical Benefits of Using a Smartphone Application to Assess the Wound Healing Process in a Feline Patient - A Case Report.

机构信息

University of Agricultural Sciences and Veterinary Medicine Cluj-Napoca, Romania.

University of Agricultural Sciences and Veterinary Medicine Cluj-Napoca, Romania.

出版信息

Top Companion Anim Med. 2021 Mar;42:100498. doi: 10.1016/j.tcam.2020.100498. Epub 2020 Nov 27.

DOI:10.1016/j.tcam.2020.100498
PMID:33249240
Abstract

The aim of this paper was to determine whether digital imagery can be employed in veterinary medicine to measure and analyze wound healing dynamics. A smartphone application (ImitoMeasure) was used to capture, measure, and analyze the metatarsal wound images in a cat patient. The smartphone app was used to evaluate the wound area, width, length, and circumference at the time of topical treatments. Further analysis of the measurements taken by the ImitoMeasure app revealed significant correlations among all analyzed parameters. The day of treatment was inversely correlated with all the parameters of the wound, showing the healing progress over time. Also, the width was the most influential parameter (P ≤ .05) when assessing wound area. Thus, the app provided a noncontact, easy to use, and accurate smart wound measurement solution. Additionally, this case report describes the treatment of a cat with a severe chronic metatarsal wound and extensive soft tissue loss using a commercially available silver calcium alginate dressing (Askina Calgitrol Ag, B. Braun). The dressing was changed every 2 days, in the first week of treatment, and then every 3 days until the cat was discharged, 21 days later. Granulation tissue formed rapidly, from the fourth day of treatment and continued to expand in the entire wound bed; epithelization process started since the 16th day of treatment and mature scar tissue could be observed 21 days postinjury.

摘要

本文旨在探讨数字成像技术在兽医领域是否可用于测量和分析伤口愈合动态。我们使用智能手机应用程序(ImitoMeasure)对一只猫患的跖骨伤口进行拍摄、测量和分析。该智能手机应用程序用于评估在局部治疗时的伤口面积、宽度、长度和周长。通过对 ImitoMeasure 应用程序获取的测量值进行进一步分析,发现所有分析参数之间存在显著相关性。治疗天数与伤口的所有参数呈负相关,表明随着时间的推移愈合进程。此外,在评估伤口面积时,宽度是最具影响力的参数(P ≤.05)。因此,该应用程序提供了一种非接触式、易于使用且准确的智能伤口测量解决方案。此外,本病例报告描述了一只患有严重慢性跖骨伤口和广泛软组织缺失的猫的治疗过程,使用了市售的银钙藻酸盐敷料(Askina Calgitrol Ag,B. Braun)。在治疗的第一周,每天更换敷料 2 次,然后每 3 天更换 1 次,直到 21 天后猫出院。从治疗的第 4 天开始,肉芽组织迅速形成,并在整个伤口床内扩展;从治疗的第 16 天开始,上皮化过程开始,21 天后可观察到成熟的瘢痕组织。

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