Eliseenko V I, Skobelkin O K, Brekhov E I
Arkh Patol. 1984;46(9):56-62.
The morphological study was performed of biopsies from purulent wounds of 405 patients after an operative removal of the necrotic tissue or necrectomy with a beam of carbon dioxide laser and subsequent application of the primary suture, washing, drainage and active aspiration. The healing of the purulent wound coursed similarly to that of the pure surgical wound, due to aseptic productive inflammation not involving leukocytic infiltration of the granulation tissue. The presence of mononuclear cells and lymphoid cell infiltration in the granulation tissue is indicative of the immune processes enhancement in the host. The results obtained show that the use of a carbon dioxide laser for the treatment of purulent wounds favours their purification, stimulates the regeneratory processes and makes the period of the patient treatment 1.5-2 times shorter.
对405例患者化脓性伤口的活检标本进行了形态学研究。这些患者在手术切除坏死组织(即二氧化碳激光束清创术)后,进行了一期缝合、冲洗、引流和主动吸引。由于无菌性增生性炎症不涉及肉芽组织的白细胞浸润,化脓性伤口的愈合过程与单纯手术伤口相似。肉芽组织中存在单核细胞和淋巴细胞浸润表明宿主的免疫过程增强。所得结果表明,使用二氧化碳激光治疗化脓性伤口有利于伤口净化,刺激再生过程,并使患者治疗时间缩短1.5至2倍。