大面積深度燒傷治療技術(shù)應(yīng)用效果調(diào)查報(bào)告

摘要： 目前,大面積深度燒傷治療的主要方法包括皮膚原位再生復(fù)原技術(shù)(MEBT/MEBO),傳統(tǒng)外科削切痂植皮(自體皮)技術(shù)以及外科削切痂+體外上皮細(xì)胞培養(yǎng)外供皮源技術(shù)等。其中,利用皮膚原位再生復(fù)原技術(shù)治療大面積深度燒傷已經(jīng)成為中國燒傷治療的主體技術(shù),而且也逐漸成為國外燒傷治療的主流技術(shù),它成功地解決了燒傷創(chuàng)面疼痛、創(chuàng)面感染、創(chuàng)面進(jìn)行性壞死以及深Ⅱ度燒傷創(chuàng)面瘢痕愈合的四大國際性技術(shù)難題,在挽救患行生命的同時(shí)大幅度降低了致殘率,使燒傷總面積超過90%TBSA的特重度燒傷患者的總治愈率從以往的5.7%提高至92%,致殘率從100%下降至2.05%。其它兩種技術(shù)因在大面積深度燒傷治療中的高死亡率、高致殘率以及患者痛苦大、創(chuàng)面愈合質(zhì)量差、治療費(fèi)用高等原因逐漸被醫(yī)患雙方所放棄。下圖是各種療法治療深Ⅱ度燒傷創(chuàng)面的療效對(duì)比,詳細(xì)病例資料請(qǐng)觀看本期雜志所附光盤。
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 autografling,tangential excision and grafting of epithelial cells donated and euhured 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 il can succeessfully solve the four international technical diffieuhies of burns including pain relieving,infection prevention,treatment of progressive necrosis and scar formation after healing of deep l]degree bums.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 bums 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 three approaehes in treating deepⅡdegree burns.And for more detailed information,please refer to the attached DVD.