| 孙霞.大面积深度烧伤治疗技术应用效果调查报告[J].中国烧伤创疡杂志,2012,24(4):284. |
| DOI：10.3969/j.issn.1001-0726.2012.4.003 |
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| 中文摘要: |
| 目前, 大面积深度烧伤治疗的主要方法包括皮肤原位再生复原技术(MEBT/ MEBO), 传统外科削切痂植皮(自体皮) 技术以及外科削切痂+ 体外上皮细胞培养外供皮源技术等。其中, 利用皮肤原位再生复原技术治疗大面积深度烧伤已经成为中国烧伤治疗的主体技术, 而且也逐渐成为国外烧伤治疗的主流技术, 它成功地解决了烧伤创面疼痛、创面感染、创面进行性坏死以及深Ⅱ度烧伤创面瘢痕愈合的四大国际性技术难题, 在挽救患者生命的同时大幅度降低了致残率, 使烧伤总面积超过90% TBSA 的特重度烧伤患者的总治愈率从以往的5． 7% 提高至92%, 致残率从100%下降至2． 05%。其它两种技术因在大面积深度烧伤治疗中的高死亡率、高致残率以及患者痛苦大、创面愈合质量差、治疗费用高等原因逐渐被医患双方所放弃。下图是各种疗法治疗深Ⅱ度烧伤创面的疗效对比, 详细病例资料请观看本期杂志所附光盘。 |
| 英文摘要: |
| At present, the main approaches of treating extensive deep burns in the world include in situ skin regenerative restoration (MEBT/ MEBO), conventional tangential excision and autografting, tangential excision and grafting of epithelial cells donated and cultured in vitro, of which, MEBT/ MBEO is the mainstay technology of treating extensive deep burns in China and is expanding worldwide to be the predominant treatment in that it can successfully solve the four international technical difficulties of burns including pain relieving, infection prevention, treatment of progressive necrosis and scar formation after healing of deep Ⅱ degree burns. In addition to saving the lives of patients, MEBT/ MEBO can greatly reduce the disability rate, and especially improve the total curative rate of extremely severe burns with a TBSA over 90% from 5.7% to 92% and the disability rate from 100% to 2.05%. In contrast, the other two approaches have been abandoned gradually by doctors and patients due to their higher mortality and disability rate, greater pain, worse healing quality and higher treatment expenses and etc. Following pictures are the comparison on the outcomes of the |
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