查詢結果分析
來源資料
相關文獻
- Comparison of the Traditional Mesh Skin Graft and Meek Micrograft Technique in Formosa Fun Coast Dust Explosion Disaster in Taiwan
- 組織擴張器應用於燒燙傷疤痕的重建
- 燒燙傷疤痕治療的另一個選擇:脈衝染料雷射(Pulsed Dye Laser)
- 燒燙傷的復健
- 燒燙傷疤痕分級與評估系統之研究
- Scrotal Skin as Donor for Skin Grafting in a Deep Extensive Burn Patient--Harvest Technique and Articles Review
- Effectiveness of Calcium Alginate Treatment for Skin Graft Donor Site of Burn Patients: A Case Report of Three Patients
- 燒燙傷中心患者的早期物理治療
- 從火海中重返生活 對抗疤痕攣縮的復健之路--陽光社會福利基金會 林靜嫄職能治療師專訪
- 提升護理人員對燒燙傷病人復健護理指導執行率
頁籤選單縮合
題 名 | Comparison of the Traditional Mesh Skin Graft and Meek Micrograft Technique in Formosa Fun Coast Dust Explosion Disaster in Taiwan=比較傳統網狀植皮術及顯微擴皮墊植皮術運用在臺灣八仙塵爆 |
---|---|
作 者 | 林培新; 林育賢; 林煌基; 鄭舉緒; 陳柵君; 林上熙; 陳瑋農; | 書刊名 | 臺灣整形外科醫學會雜誌 |
卷 期 | 26:1 2017.03[民106.03] |
頁 次 | 頁62-72 |
分類號 | 416.412 |
關鍵詞 | 皮膚移植; 燒燙傷; 疤痕; 顯微擴皮墊植皮術; Skin graft; Major burn; Scar; Meek micrograft technique; |
語 文 | 英文(English) |
中文摘要 | 背景:我們使用皮膚移植來治療嚴重燒燙傷的病人。而手術治療的目標是利用移植的皮膚取代壞死的組織。在大面積燒燙傷的傷口由於缺少供皮區,所以移植的皮膚是非常珍貴的。有許多技巧例如傳統網狀植皮術及顯微擴皮墊植皮術可以增大移植的皮膚,來提供足夠的面積。目的及目標:這篇研究的目標是討論傳統網狀植皮術及顯微擴皮墊植皮術運用在單一事件台灣八仙塵爆的比較。材料及方法:在2015年6月24日,台灣發生了八仙塵暴的災難,有499名嚴重燒傷傷病人。有32名大型燒傷病人送到我們醫院。我們使用傳統網狀植皮術及顯微擴皮墊植皮術在不同的患者進行皮膚移植。我們分析,手術前的病人特性,臨床過程及結果,疤痕狀況及預後。我們在病房急性期後使用溫哥華分數評估瘢痕狀況。結果:我們比較了住院的天數,燙傷加護病房住院天數,氣管內插管時間,清創手術的次數,植皮手術的次數,總植皮手術的時間,平均每次植皮手術的時間,疤痕手術的次數及疤痕狀況。我們發現在顯微擴皮墊植皮術組有較少的住院天和較少的植皮手術時間之外,其餘兩者之間沒有顯著差異。結論:總結使用顯微擴皮墊植皮術可以提供大量的移植皮膚,可以作為中度及重大傷燙傷患者的替代方案。 |
英文摘要 | Background: It is widely known, that in cases of deep second and third degree burns, the wound needs to be reconstructed using a skin graft. The surgical goal is to replace the necrotic tissue, using skin graft. In cases with large burn wounds, the site of donor skin graft is limited and precious. There are several techniques of skin grafting, including the mesh technique and the Meek technique, to increase the surface coverage sufficiently. In recent studies, the Meek technique was used when the patient's burn area was more than 60% of the total body surface area (TBSA). However, there is lack of studies comparing the 2 methods in moderate size burns. Aim and Objectives: The aim of this study was to compare the traditional mesh skin graft and Meek technique, in patients of major burns caused by a single incident. Materials and Methods: On June 27 2015, a huge explosion took place at Formosa Fun Coast in Taiwan, causing major burn injuries to more than 400 patients. Thirty-two major burns patients were sent to our hospital. We used the mesh or Meek techniques for skin grafting in different patients. We analyzed the preoperative characteristics, clinical course and outcomes, prognosis and condition of the scar tissue. We evaluated the scar using Vancouver scar scale (VSS) score. A visual analogue scale (VAS) was used to assess pain and itching in the ward, after the acute period. Results: We compared length of hospital stay, length of burn intensive care unit stay, duration of intubation, interval before first debridement, number of debridement sessions, number of skin grafts required, total skin grafting time, average skin grafting time, need for scar revision surgery, VSS score, VAS for pain and VAS for itching, between the mesh and Meek groups. We observed that significantly less number of skin grafts and total skin grafting time were required in the Meek group. Other outcome parameters were not significantly different between the two groups. Conclusion: In conclusion, the Meek micrograft technique providing quantitative skin graft is recommended as an alternative in moderate and major burn patients. |
本系統中英文摘要資訊取自各篇刊載內容。