水动力清创系统在烧伤创面清创中的应用概况

Application of hydrosurgery system in debridement of burn wound:an overview

清创是烧伤创面修复不可缺少的步骤。水动力清创系统(以下简称水刀)是一种先进的清创设备,与常规清创器械相比,其手柄灵活、操控性好,便于对外形不规则、表面不平整的部位进行清创;清创过程集坏死组织切除和创面灌洗为一体,具有良好的组织选择性,有利于优化创面床,为皮肤移植和创面愈合创造良好条件。水刀用于烧伤创面清创已有10余年历史,国外应用广泛,并于近年引进国内。由于烧伤创面表现的复杂性,临床上对于水刀用于不同烧伤创面的清创效率、效果及经济性、术中出血量等尚存在一定分歧。本文旨在系统地总结水刀在烧伤创面清创中的应用效果,为临床医师提供参考。

Debridement is an indispensable step in repairing of burn wounds. Hydrosurgery system is an advanced instrument for debridement. Compared with the conventional debridement instruments, the hand-piece of hydrosurgery system is more facile and easy to be controlled, which is helpful for the debridement of wounds with irregular shape and uneven surface; besides, hydrosurgery system combines necrotic tissue resection and wound perfusion simultaneously, and its debridement process is highly tissue-selective, which is helpful to improve the wound-bed and to create favorable conditions for skin grafting and wound healing. Hydrosurgery system has been used in burn wounds debridement for more than 10 years. It is widely used abroad and has been introduced to China in recent years. Due to the complexity of burn wounds, there are also many different opinions about the clinical use of hydrosurgery system for different wounds, including debridement efficiency, effect, cost and the amount of bleeding. In this paper, we systematically summarized the effect of hydrosurgery system on the debridement of burn wounds, so as to provide reference for clinicians.