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化脓性汗腺炎术后伤口的先进管理方法。

Advanced wound management approaches in Hidradenitis Suppurativa postsurgical lesions.

作者信息

Michelucci Alessandra, Janowska Agata, Granieri Giammarco, Margiotta Flavia M, Morganti Riccardo, Romanelli Marco, Dini Valentina

机构信息

Department of Dermatology University of Pisa Pisa Italy.

Statistical Support to Clinical Trials Department University of Pisa Pisa Italy.

出版信息

Health Sci Rep. 2023 Oct 9;6(10):e1582. doi: 10.1002/hsr2.1582. eCollection 2023 Oct.

DOI:10.1002/hsr2.1582
PMID:37822841
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10562610/
Abstract

The most appropriate management of recurrent Hidradenitis Suppurativa (HS) lesions consists of wide surgical removal of the lesions with subsequent healing by second intention. Successful wound healing depends on the choice of an adequate wound dressing, targeted to the features of the wound.We enrolled 25 patients randomized into three groups according to the advanced dressing used in second intention healing of postsurgical wounds (standard therapy, an oxygen-enriched oil-based medical device with prolonged release of reactive oxygen species [ROS], ultra-portable negative pressure therapy). Data on wound size, clinical appearance of the wound bed, and pain experienced by the patient were collected twice a week for 4 weeksNo statistically significant differences were observed between the different groups evaluated. Oxygen-enriched oil-based medical device with prolonged release of ROS can be included in the principle of HS-tissue, inflammation, moisture, and epithelium (TIME).

摘要

复发性化脓性汗腺炎(HS)病变的最恰当处理方法是广泛手术切除病变,随后让伤口通过二期愈合实现愈合。成功的伤口愈合取决于根据伤口特点选择合适的伤口敷料。我们纳入了25例患者,根据用于手术伤口二期愈合的先进敷料(标准治疗、具有活性氧[ROS]长效释放功能的富氧油基医疗器械、超便携式负压治疗)将其随机分为三组。每周两次收集伤口大小、伤口床临床表现及患者疼痛情况的数据,持续4周。在评估的不同组之间未观察到统计学上的显著差异。具有ROS长效释放功能的富氧油基医疗器械可纳入HS组织、炎症、湿度和上皮(TIME)原则。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8acc/10562610/9fdb4dd8e2d9/HSR2-6-e1582-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8acc/10562610/9fdb4dd8e2d9/HSR2-6-e1582-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8acc/10562610/9fdb4dd8e2d9/HSR2-6-e1582-g001.jpg

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Differences in anatomical area-specific wound healing in hidradenitis suppurativa/acne inversa after surgery.化脓性汗腺炎/反向性痤疮手术后特定解剖区域伤口愈合的差异。
Eur J Dermatol. 2021 Oct 1;31(5):623-629. doi: 10.1684/ejd.2021.4148.
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The role of negative-pressure wound therapy in the management of axillary hidradenitis suppurativa.负压伤口治疗在化脓性汗腺炎管理中的作用。
二氧化碳激光与手术切除治疗化脓性汗腺炎窦道的比较:一项多中心回顾性对照研究
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Effectiveness Of Reactive Oxygen Species In An Oil-Based Medication For Healing Burn Wounds: A Case Series.活性氧在一种油基药物治疗烧伤创面中的有效性:病例系列
Ann Burns Fire Disasters. 2021 Jun 30;34(2):170-174.
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Assessing the Need for Negative Pressure Wound Therapy Utilization Guidelines: An Overview of the Challenges With Providing Optimal Care.评估负压伤口治疗应用指南的需求:提供最佳护理面临的挑战概述。
Wounds. 2020 Dec;32(12):328-333.
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Pre-operative ultrasound planning in the surgical management of patients with hidradenitis suppurativa.化脓性汗腺炎患者手术治疗中的术前超声规划
J Eur Acad Dermatol Venereol. 2020 Oct;34(10):2362-2367. doi: 10.1111/jdv.16435. Epub 2020 Jul 13.
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