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使用脱细胞真皮基质重建电烧伤创面:一例病例报告及文献综述

Reconstruction of Electrical Burn Wounds Using Acellular Dermal Matrix: A Case Report and Literature Review.

作者信息

Davila-Diaz Rodrigo, Jaimes-Duran Edwing Michel, Gutierrez-Alvarez Mauricio, Cortes-Aguilar Carlos, Camarillo Reyes Luis A, Mendizabal Velazquez Mely Alondra, Wong Ruiz Gabriela Alejandra, Marquez-Espriella Cuahutemoc

机构信息

Plastic and Reconstructive Surgery, Hospital Central Sur de Alta Especialidad Petróleos Mexicanos (PEMEX), Mexico City, MEX.

General Surgery, Hospital Central Sur de Alta Especialidad Petróleos Mexicanos (PEMEX), Mexico City, MEX.

出版信息

Cureus. 2025 Aug 14;17(8):e90071. doi: 10.7759/cureus.90071. eCollection 2025 Aug.

Abstract

Electrical burns present a therapeutic challenge due to the depth and extent of tissue damage. Acellular dermal matrix (ADM) has emerged as a promising alternative for complex wound coverage. Our objective is to describe the use of ADM in electrical burns. We present the case of a 52-year-old male patient with an 11.5% total body surface area electrical burn on the left side of the neck who was treated with surgical debridement and ADM application directly onto the prepared wound bed and secured with sutures and dressings. It acts as a scaffold for the patient's tissue regeneration, and an autologous skin graft is subsequently placed. Tissue integration and functional outcomes were evaluated six months after the initial injury. ADM facilitated dermal regeneration, reduced skin contracture, and improved both cosmetic and functional outcomes. ADM is a viable option for the management and coverage of electrical burn injuries, promoting wound healing and reducing complications.

摘要

由于组织损伤的深度和范围,电烧伤带来了治疗挑战。脱细胞真皮基质(ADM)已成为用于复杂伤口覆盖的一种有前景的替代物。我们的目的是描述ADM在电烧伤中的应用。我们报告一例52岁男性患者,其颈部左侧有11.5%体表面积的电烧伤,接受了手术清创,并将ADM直接应用于准备好的伤口床,用缝线和敷料固定。它作为患者组织再生的支架,随后进行自体皮肤移植。在初次受伤六个月后评估组织整合和功能结果。ADM促进了真皮再生,减少了皮肤挛缩,并改善了外观和功能结果。ADM是电烧伤治疗和覆盖的一种可行选择,可促进伤口愈合并减少并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3351/12433183/ca0d914a4908/cureus-0017-00000090071-i01.jpg

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