Rakhimov A U, Chekmarev V M
Khirurgiia (Mosk). 1994 Aug(8):48-52.
The article analyses the results of active treatment of pyoinflammatory diseases in 138 children by means of CO2-laser and ultrasonic cavitation. The control group was formed of 145 children who were treated by the commonly applied methods. The efficacy of surgical debridement was appraised according to the number of bacteria per g of tissues. Various methods of opening and treatment of the purulent cavity are compared. The differentiated use of the laser beam and ultrasonic cavitation depending on the character of the pathological process is substantiated. The schemes of ultrasonic cavitation with the use of various solutions and their combination depending on the phase of the wound process are shown. A combination of laser cleansing and ultrasonic cavitation is most rational. Complete epithelialization of the wound occurs 5-6 days earlier than in the control group.
本文分析了采用二氧化碳激光和超声空化技术对138例儿童脓性炎症性疾病进行积极治疗的结果。对照组由145例采用常规方法治疗的儿童组成。根据每克组织中的细菌数量评估手术清创的效果。比较了脓性腔隙的各种切开和治疗方法。论证了根据病理过程的特点差异化使用激光束和超声空化技术的合理性。展示了根据伤口愈合阶段使用各种溶液及其组合的超声空化方案。激光清创与超声空化相结合最为合理。伤口完全上皮化比对照组提前5 - 6天出现。
