EARLY EXCISION AND GRAFTING VS NONOPERATIVE TREATMENT OF BURNS OF INDETERMINANT DEPTH - A RANDOMIZED PROSPECTIVE-STUDY
EARLY EXCISION AND GRAFTING VS NONOPERATIVE TREATMENT OF BURNS OF INDETERMINANT DEPTH - A RANDOMIZED PROSPECTIVE-STUDY
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DOI：
10.1097/00005373-198311000-00007
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发表时间：
1983-01-01
影响因子：
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通讯作者：
MARVIN, JA
中科院分区：
文献类型：
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作者：
ENGRAV, LH;HEIMBACH, DM;MARVIN, JA
与磺胺嘧啶银霜非手术治疗相比，早期切除植皮治疗20%烧伤面积不明的22例患者平均住院时间短、费用低、出院时间短。虽然早期切除和移植会增加血液制品和手术室设施的使用，但这并不会增加患者的发病率。长期随访显示，重建的需要、水泡的发生率、活动丧失的发生率或轮廓不规则的发生率没有差别。那些接受非手术治疗的患者需要更多的晚期移植物来闭合，并表现出更多的肥厚性瘢痕。早期切除的患者表现出更多的网状移植物不规则。对于其他健康的皮肤烧伤深度不确定的患者，20%的总体表面积，早期切除和移植是首选的治疗形式。
Compared to nonoperative treatment with silver sulfadiazine cream, early excision and grafting of 22 patients with indeterminant burns of < 20% TBSA [total body surface area] resulted in an average shorter hospitalization, lower cost and less time away from work than 25 patients treated nonoperatively. While early excision and grafting resulted in increased use of blood products and operating room facilities, this did not result in increased patient morbidity. Long-term followup demonstrated no difference in need for reconstruction, incidence of blisters, incidence of loss of motion, or contour irregularities. Those patients treated nonoperatively required more late grafts for closure and demonstrated more hypertrophic scarring. Those treated by early excision demonstrated more mesh graft irregularity. In otherwise healthy patients with dermal burns of indeterminant depth < 20% total body surface area, early excision and grafting is the preferred form of treatment.