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二氧化碳激光切口和手术刀伤口在兔体内的愈合情况及抗张强度

Healing and tensile strength of CO2 laser incisions and scalpel wounds in rabbits.

作者信息

Finsterbush A, Rousso M, Ashur H

出版信息

Plast Reconstr Surg. 1982 Sep;70(3):360-2. doi: 10.1097/00006534-198209000-00012.

Abstract

An experimental model was designed in order to compare the results of wound healing after skin incision by CO2 laser and scalpel. The skin of 36 rabbits was incised by a CO2 laser with a 15-W current output and by scalpel. The wounds were tested for tensile strength and histology after healing up to 4 weeks to determine if scalpel wounds differed from those made by the laser beam. Tensile strength tests showed that the wound incised by the laser beam was initially stronger up to 3 weeks; thereafter, the strength of both types of wounds was equal. Histologic preparations showed partial necrosis of the wound edges and a more extensive inflammation response in laser beam incisions which disappeared gradually from 2 weeks after incision. Because of initial stronger scar following laser beam incision as compared with scalpel incision, early mobilization of the operated limb is possible.

摘要

设计了一个实验模型,以比较二氧化碳激光和手术刀切开皮肤后伤口愈合的结果。用输出电流为15瓦的二氧化碳激光和手术刀分别切开36只兔子的皮肤。伤口愈合至4周后,对其进行拉伸强度和组织学测试,以确定手术刀造成的伤口与激光束造成的伤口是否不同。拉伸强度测试表明,激光束切开的伤口在最初3周内更强;此后,两种伤口的强度相等。组织学标本显示,伤口边缘有部分坏死,激光束切口处的炎症反应更广泛,从切口后2周开始逐渐消失。由于与手术刀切口相比,激光束切口后形成的瘢痕最初更强,因此手术肢体早期活动是可行的。

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