Reiter D
Center for Facial Plastic Surgery, Thomas Jefferson University Hospital, Philadelphia, PA 19107.
Otolaryngol Head Neck Surg. 1994 Jun;110(6):550-6. doi: 10.1177/019459989411000613.
Rumor, myth, and unsubstantiated opinion have guided wound management since our forebearers achieved upright ambulation. The past decade has seen discovery of specific substances and pathways that initiate, control, and terminate healing. The roles of oxygen, nutrition, and growth factors are rapidly revealing themselves to wound healing researchers, and a scientific basis for wound management is emerging. Although the healing process still harbors much mystery, we know enough to improve our methods of wound management. We can now pick from a variety of tools for surgical incision. Scientific studies help in the choice of sutures, needles, and needle holders, as well as alternative closure methods and materials. Natural and synthetic tissue adhesives vie with staples and tapes for use in wound repair. Dressing materials may be active, passive, selectively interactive, or inert. Wound management can be changed to meet changing wound needs, with dressings as diverse as hydrocolloids, silicone gels, and amino acids. We have new ways of improving hypertrophic scarring and practical hopes for its prevention. This article offers a summary of currently available methods and materials for wound management, along with the scientific information that supports and guides their use.
自从我们的祖先能够直立行走以来，谣言、神话和未经证实的观点就一直主导着伤口处理。在过去十年中，人们发现了启动、控制和终止愈合过程的特定物质和途径。氧气、营养和生长因子在伤口愈合研究中的作用正迅速显现，伤口处理的科学依据正在形成。尽管愈合过程仍有许多未解之谜，但我们已经掌握了足够的知识来改进伤口处理方法。现在，我们可以从多种手术切口工具中进行选择。科学研究有助于选择缝线、缝针和持针器，以及替代闭合方法和材料。天然和合成组织粘合剂与钉书钉和胶带竞争用于伤口修复。敷料材料可以是活性的、被动的、选择性相互作用的或惰性的。伤口处理可以根据伤口需求的变化而改变，有多种敷料可供选择，如水胶体、硅胶凝胶和氨基酸。我们有了改善增生性瘢痕的新方法，并对预防增生性瘢痕抱有切实的希望。本文概述了目前可用的伤口处理方法和材料，以及支持和指导其使用的科学信息。
