Modalities for the Assessment of Burn Wound Depth
Modalities for the Assessment of Burn Wound Depth
复制标题
烧伤深度评估方式
DOI：
--
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发表时间：
2006
期刊：
影响因子：
--
通讯作者：
R. Spence
中科院分区：
文献类型：
--
作者：
L. Devgan;S. Bhat;S. Aylward;R. Spence
目的：烧伤创面深度是患者治疗和发病率的重要决定因素。虽然浅表部分厚度烧伤通常通过上皮再形成而愈合，瘢痕形成最小，但较深的伤口可能形成肥厚性或收缩性瘢痕，通常需要手术切除和移植以防止次优结果。此外，如果不及时干预，更浅的烧伤伤口可能会转化为更深的伤口。因此，快速准确地评估烧伤伤口深度是治疗烧伤患者的优先事项。本文的目的是回顾目前的研究模式，在烧伤创面深度的评估，强调每种技术的相对成本和效益。研究方法：使用PubMed和科克伦计算机数据库进行数据检索，检索词为“烧伤”、“烧伤伤口”、“烧伤深度”、“烧伤深度测量”和“烧伤深度进展”。此外，还对烧伤深度的既往综述中的参考文献进行了综述。审查了与烧伤深度测量主题相关的所有同行评议的英文文章，包括关注动物和人群的文章。在适当情况下，纳入了从综述文章和专家分析中得出的结论。结果如下：尽管床旁评估仍然是诊断烧伤深度的最常见方式，但最近的技术进步已经扩大了临床医生可用的深度评估方式的范围。其他深度评估技术包括活组织检查和组织学，以及灌注测量技术，如热成像、活体染料、吲哚菁绿色视频血管造影和激光多普勒技术。结论：在目前临床实践中使用的深度评估模式中，LDI和ICG视频血管造影提供了最好的数据支持的准确性估计。在未来的新方法出现之前，建议将临床评估与另一种方法（热成像、活检或理想的ICG视频血管造影或LDI）相结合，以最好地评估急性烧伤创面的深度。
Objective: Burn wound depth is a significant determinant of patient treatment and morbidity. While superficial partial-thickness burns generally heal by re-epithelialization with minimal scarring, deeper wounds can form hypertrophic or contracted scars, often requiring surgical excision and grafting to prevent a suboptimal result. In addition, without timely intervention, more superficial burn wounds can convert to deeper wounds. As such, the rapid and accurate assessment of burn wound depth is a priority in treating burn-injured patients. The object of this article is to review current research on modalities useful in the assessment of burn wound depth with emphasis on the relative costs and benefits of each technique. Methods: PubMed and Cochrane computerized databases were used for data retrieval, using the search terms “burns,” “burn wounds,” “burn depth,” “burn depth measurement,” and “burn depth progression.” In addition, bibliographic references from prior reviews of burn depth were reviewed. All peer-reviewed, English-language articles relevant to the topic of burn depth measurement were reviewed, including those focusing on animal and human populations. Where appropriate, conclusions drawn from review articles and expert analyses were included. Results: Although bedside evaluation remains the most common modality of diagnosing the depth of burn wounds, recent technological advances have broadened the scope of depth assessment modalities available to clinicians. Other depth assessment techniques include biopsy and histology, and perfusion measurements techniques such as thermography, vital dyes, indocyanine green video angiography, and laser Doppler techniques. Conclusion: Of the depth assessment modalities currently used in clinical practice, LDI and ICG video angiography offer the best data-supported estimates of accuracy. Until the future of new modalities unfolds, a combination of clinical evaluation and another modality—thermography, biopsy, or, ideally, ICG video angiography or LDI—is advised to best assess the depth of acute burn wounds.
影响因子：
3.5
作者：
Park, BH;Saxer, C;de Boer, JF
通讯作者：
de Boer, JF
激光多普勒血流计在烧伤创面中的应用。
DOI：
10.1097/00004630-199507000-00003
发表时间：
1995
期刊：
The Journal of burn care & rehabilitation
影响因子：
--
作者：
Atiles,L;Mileski,W;Purdue,G;Hunt,J;Baxter,C
通讯作者：
Baxter,C