I. Abdelrahman, I. Steinvall, F. Sjöberg, M. Ellabban, J. Zdolsek, Moustafa Elmasry
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引用次数: 1
摘要
背景:对于烧伤面积较小的儿童,特别是深部皮肤烧伤的手术时机尚无共识。延迟手术在感染和延迟伤口愈合方面有风险。早期手术也有切除潜在存活组织的风险。我们的目的是研究手术干预时间对手术面积和伤口愈合时间的影响。方法:回顾性分析2009-2020年所有烧伤面积<体表面积(BSA%) 20%的儿童(<18岁)行裂皮植皮手术的病例。患者按首次植皮手术时间分组:早期=伤后14天内手术;受伤后超过两周才进行手术。结果:共纳入84例患者,其中早期手术43例,延迟手术41例。两组之间在烧伤大小、烧伤是浅的还是深的方面没有差异。延迟手术组平均愈合时间延长7 d (p = 0.001)。早期手术组的手术面积稍大(差异不明显)。2次植皮9例,早期组8例,延迟组1例(p = 0.03)。结论:早期手术的患者愈合时间较短,但补充手术的比例较高,且有较大的烧伤切除的趋势。
Pros and Cons of Early and Late Skin Grafting in Children with Burns—Evaluation of Common Concepts
Background: There is no consensus regarding the timing of surgery in children with smaller burn size, specifically in deep dermal burns. Delayed surgery has risks in terms of infection and delayed wound healing. Early surgery also risks the removal of potentially viable tissue. Our aim was to investigate the effect of the timing of surgical intervention on the size of the area operated on and the time to wound healing. Methods: A retrospective analysis for all children (<18 years) with burn size <20% body surface area (BSA%) during 2009–2020 who were operated on with a split-thickness skin graft. The patients were grouped by the timing of the first skin graft operation: early = operated on within 14 days of injury; delayed = operated on more than two weeks after injury. Results: A total of 84 patients were included in the study, 43 who had an early operation and 41 who had a delayed operation. There were no differences between the groups regarding burn size, or whether the burns were superficial or deep. The mean duration of healing time was seven days longer in the group with delayed operation (p = 0.001). The area operated on was somewhat larger (not significantly so) in the group who had early operation. Nine children had two skin graft operations, eight in the early group and one in the delayed group (p = 0.03). Conclusion: The patients who were operated on early had the advantage of a shorter healing time, but there was a higher rate of complementary operations and a tendency towards a larger burn excision.
期刊介绍:
Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance.
Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.