软组织扩张器联合rhEGF治疗颅骨高压电烧伤的研究

THE CLINICAL EFFECT OF SOFT TISSUE DILATOR COMBINED WITH RHEGF ON CRANIAL HIGH-VOLTAGE BURN

目的探讨颅骨高压电烧伤的治疗方法。方法回顾性收集31例颅骨高压电烧伤患者临床资料,根据治疗方法的不同分为治疗组(16例)和对照组(15例)。治疗组:给予备头皮、清创+rhEGF溶液纱布头皮湿敷+软组织扩张器治疗;对照组:给予单纯创面清创+扩张器治疗。观察两组皮肤扩张时间、皮肤扩张率和即时回缩率等。结果治疗组扩张完成时间、即时回缩率低于对照组(t=6.41,7.69;P<0.01),皮肤扩张率高于对照组(t=23.21,P<0.01)。两组皮瓣全部愈合,效果良好。结论皮肤软组织扩张器联合rhEGF治疗颅骨高压电烧伤效果优良。

Objective To explore the treatment of cranial high-voltage burn.Methods Clinical data of 31 patients with cranial high-voltage burn were collected retrospectively and divided into the treatment group(16 cases)and the control group(15 cases)according to different treatment methods.The treatment group underwent scalp preparation,debridement,freeze-dried rhEGF solution gauze scalp wet compress and soft tissue dilator treatment.The control group received simple wound debridement and dilator treatment.The skin dilation time,the skin dilation rate and the immediate retraction rate in the two groups were observed.Results The completion time of dilation and the immediate retraction rate in the treatment group were lower than those in the control group(t=6.41,7.69;P<0.01),while the skin expansion rate was higher in the treatment group than that in the control group(t=23.21,P<0.01).The flaps in both groups healed with good results.Conclusion Skin soft tissue dilator combined with rhEGF is effective in treating cranial high-voltage burn.