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中华损伤与修复杂志(电子版) ›› 2018, Vol. 13 ›› Issue (05) : 378 -382. doi: 10.3877/cma.j.issn.1673-9450.2018.05.012

所属专题: 文献

综述

精准清创技术研究进展
徐杨1, 刘彤2, 郑兴锋2, 夏照帆2,()   
  1. 1. 200433 上海,海军军医大学基础医学院
    2. 200433 上海,海军军医大学附属长海医院烧创伤中心
  • 收稿日期:2018-07-22 出版日期:2018-10-01
  • 通信作者: 夏照帆
  • 基金资助:
    全军后勤科研计划重大专项(AWS14C001); 海军军医大学校级军事课题(2017JS14)

Progress in clinical application of precise debridement

Yang Xu1, Tong Liu2, Xingfeng Zheng2, Zhaofan Xia2,()   

  1. 1. College of Basic Medicine, Naval Medical University, Shanghai 200433, China
    2. Burns and Trauma Center, First Affiliated Hospital, Naval Medical University, Shanghai 200433, China
  • Received:2018-07-22 Published:2018-10-01
  • Corresponding author: Zhaofan Xia
  • About author:
    Corresponding author: Xia Zhaofan, Email:
引用本文:

徐杨, 刘彤, 郑兴锋, 夏照帆. 精准清创技术研究进展[J/OL]. 中华损伤与修复杂志(电子版), 2018, 13(05): 378-382.

Yang Xu, Tong Liu, Xingfeng Zheng, Zhaofan Xia. Progress in clinical application of precise debridement[J/OL]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2018, 13(05): 378-382.

清创是伤口治疗的基础和关键,其基本要点是彻底清除坏死组织及污染异物,促进创面愈合。根据处理方式的不同,清创可分为手术清创、机械清创、自溶清创、酶解清创和生物清创等,但这几类清创方式在临床应用中都各有其优点及不足之处。近年来,一些新型的清创技术不断出现,如水动力清创和低温等离子射频消融清创等,它们能弥补传统清创方式的不足,更为精准地清除污染或坏死的组织,且尽可能减少对周围正常组织的破坏。精准清创的概念由此产生,其目的是靶向性地清除坏死及不健康组织,最大限度地保留正常组织,并减轻清创时的疼痛。本文就目前常用的清创方法及精准清创新技术作一综述。

Debridement is the basic and key step of wound treatment. The basic point is to removes necrotic tissues and contaminated foreign matter completely, and promotes wound healing. According to different treatment methods, debridement can be divided into surgical debridement, mechanical debridement, autolysis debridement, enzymatic debridement, biological debridement etc. All of these debridement methods have advantages and shortcomings in clinical application. Recent years, a number of new debridement techniques have emerged, such as hydrodynamic debridement and low-temperature plasma radiofrequency ablation debridement, which make up for the deficiency of traditional debridement methods. These new methods can remove contaminated or necrotic tissue accurately, and minimize damage to the surrounding normal tissues. The concept of precise debridement has been developed to target the removal of necrotic and unhealthy tissues, to maximize the retention of normal tissue, and to alleviate pain during debridement. This article reviews the current clinical debridement methods and the new techniques which can achieve accurate debridement.

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