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2019 Vol. 35, No. 6

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Expert Forum
Surgical treatment of hypertrophic scar contracture deformity after deep burn
Shen Yuming
2019, 35(6): 401-404. doi: 10.3760/cma.j.issn.1009-2587.2019.06.001
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Although burn treatment technology has been greatly improved, the number of patients with hypertrophic scar contracture deformities after burn has not decreased significantly. Some patients still have severe deformities, which not only affect the appearance, but also lead to different degrees of dys...
Original Article · Surgical Treatment of Scar
Effects of free transplantation of expanded perforator flaps in the treatment of severe scar contracture deformities in children
Zhu Xiongxiang, Zheng Zhao, Zhang Dongmei, Zhu Zhensen
2019, 35(6): 405-409. doi: 10.3760/cma.j.issn.1009-2587.2019.06.002
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Objective To explore the effects of using free transplantation of expanded perforator flaps in the treatment of severe scar contracture deformities in children. Methods From January 2010 to December 2018, 18 pediatric patients with severe scar contracture were admitted to Xijing Hospital of Air Forc...
Expanded flaps with vascular anastomosis for the treatment of scar contracture deformities of extensively burned patients
Zhang Wei, Xie Weiguo, Zhang Weidong, Yang Fei, Chen Lan
2019, 35(6): 410-416. doi: 10.3760/cma.j.issn.1009-2587.2019.06.003
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Objective To explore the effect of expanded flaps with vascular anastomosis in the treatment of scar contracture deformities of extensively burned patients. Methods From April 2016 to February 2018, 9 patients with severe scar contracture deformities caused by extensive burns were hospitalized in ou...
Effects of perforator flaps in the reconstruction of hypertrophic scar contracture deformities in the large joints of extremities of patients after severe burns
Hu Xiaohua, Qin Fengjun, Li Juan, Ma Chunxu, Shen Yuming
2019, 35(6): 417-422. doi: 10.3760/cma.j.issn.1009-2587.2019.06.004
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Objective To explore the clinical effects of perforator flaps in the reconstruction of hypertrophic scar contracture deformities in the large joints of extremities after severe burns. Methods From January 2008 to January 2018, 72 patients (53 males and 19 females, aged 5 to 63 years) with hypertroph...
Clinical effects of scapular region flaps pedicled with circumflex scapular artery in the reconstruction of axillary burn scar contractures
Li Shanshan, Zhu Shan, Zang Mengqing, Chen Bo, Han Tinglu, Xie Tingjun, Liu Yuanbo
2019, 35(6): 423-427. doi: 10.3760/cma.j.issn.1009-2587.2019.06.005
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Objective To explore the clinical effects of scapular region flaps pedicled with circumflex scapular artery in the reconstruction of axillary burn scar contractures. Methods From December 2008 to December 2018, 21 patients with axillary burn scar contractures were admitted to our department. There w...
2019, 35(6): 416-416. doi: 10.3760/cma.j.issn.1009-2587.2019.06.101
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2019, 35(6): 422-422. doi: 10.3760/cma.j.issn.1009-2587.2019.06.103
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2019, 35(6): 422-422. doi: 10.3760/cma.j.issn.1009-2587.2019.06.102
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2019, 35(6): 427-427. doi: 10.3760/cma.j.issn.1009-2587.2019.06.104
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2019, 35(6): 433-433. doi: 10.3760/cma.j.issn.1009-2587.2019.06.105
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Original Article
Clinical effects of Archimedes sling system in the rehabilitation of knee joint flexion dysfunction after deep burn
Ru Tianfeng, Li Feihong, Yuan Lin, Xie Weiguo
2019, 35(6): 428-433. doi: 10.3760/cma.j.issn.1009-2587.2019.06.006
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Objective To observe the therapeutic effects of Archimedes sling system in the rehabilitation of knee joint flexion dysfunction of patients after deep burns. Methods Thirty-seven patients with knee joint flexion dysfunction after deep burn, conforming to the study criteria and hospitalized in Burn R...
Clinical significance of pulse contour cardiac output monitoring technology in guiding fluid replacement during shock stage of extensive burn
Jiang Nanhong, Wang Deyun, Li Feng, Xie Weiguo
2019, 35(6): 434-440. doi: 10.3760/cma.j.issn.1009-2587.2019.06.007
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Objective To explore the guiding significance of pulse contour cardiac output (PiCCO) monitoring technology in the treatment of fluid replacement during shock stage of extensive burn in clinic. Methods Sixty-five patients with extensive burn hospitalized in our unit from January 2014 to December 201...
Study on the clinical benefits of endoscopy combined with contrast fistulography in the diagnosis and treatment of chronic wound with sinus tract adjacent to body cavity
Ma Xian, Tao Guilu, Aobuliaximu Yakupu, Jiang Minfei, Wu Minjie, Tang Jiajun, Liu Yingkai, Lu Yong, Wang Hanqi, Sun Jing, Huang Lifang, Lu Shuliang
2019, 35(6): 441-445. doi: 10.3760/cma.j.issn.1009-2587.2019.06.008
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Objective To explore the advantages of endoscopy combined with contrast fistulography in the clinical diagnosis and treatment of chronic wound with sinus tract adjacent to body cavity. Methods Thirty-two patients (14 males and 18 females, aged 17 to 87 years) of chronic wounds with sinus tracts adja...
Clinical effects and mechanism of treating extensive deep burns by stage-Ⅱ Meek skin grafting on adipose tissue after tangential excision
Li Feng, Wang Hongwei, Yin Huinan, Chi Yunfei, Hu Quan, Liu Wei, Chen Qi, Zhang Qinxue, Chen Xin, Liang Zhanling, Sun Yingjie, Ma Xiaofeng
2019, 35(6): 446-450. doi: 10.3760/cma.j.issn.1009-2587.2019.06.009
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Objective To observe the clinical effects of stage-Ⅱ Meek skin grafting on adipose tissue after tangential excision in patients with extensive deep burns, and to explore the functional mechanism. Methods The medical records of 26 extensively burned patients who met the inclusion criteria and were ad...
Clinical effects of autologous platelet-rich plasma gel in the repair of chronic wounds
Feng Guang, Hao Daifeng, Yao Dan, Zhang Xinjian, Yang Yi
2019, 35(6): 451-455. doi: 10.3760/cma.j.issn.1009-2587.2019.06.010
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Objective To explore the clinical application effects of autologous platelet-rich plasma gel in the repair of various chronic wounds. Methods From January 2015 to January 2018, 76 patients with chronic wounds were admitted to our unit, with 39 men and 37 women, aged 28 to 75 (52±6) years. Before the...
Epidemiological investigation of burn patients with Klebsiella pneumoniae infection and the analysis of risk factors for sepsis in them
Ren Haitao, Han Chunmao, Zhang Jingjing, Hu Hang, Zhang Rong
2019, 35(6): 456-458. doi: 10.3760/cma.j.issn.1009-2587.2019.06.011
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Objective To analyze the prevalence trend of Klebsiella pneumoniae (KP) infection in the Department of Burns of the Second Affiliated Hospital of Zhejiang University School of Medicine (hereinafter referred to as the author′s department) from 2015 to 2017, and to screen out the independent risk fact...
Significance of intestinal fatty acid binding protein in evaluation of intestinal barrier dysfunction of mice at early stage of severe burn injury
Wang Pei, Feng Yanhai, Wang Shunbin, Wang Ying, Huang Yalan, Wang Fengjun
2019, 35(6): 459-463. doi: 10.3760/cma.j.issn.1009-2587.2019.06.012
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Objective To investigate the significance of intestinal fatty acid binding protein (IFABP) in the evaluation of intestinal barrier dysfunction of mice at the early stage of severe burn injury. Methods Thirty-six 8-week-old C57BL/6 male mice were collected and divided into normal control group (n=6) ...
Brief Original Article
Clinical effects of application of antibiotic bone cement in wounds of diabetic foot ulcers
Huang Hongjun, Niu Xihua, Yang Guanlong, Wang Liying, Shi Fanchao, Xu Shaojun, Xu Lingang, Li Yonglin
2019, 35(6): 464-466. doi: 10.3760/cma.j.issn.1009-2587.2019.06.013
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Objective To explore the clinical effects of antibiotic bone cement in the treatment of diabetic foot ulcers. Methods According to the treatment methods, 18 patients with diabetic foot ulcers (11 males and 7 females, aged 53-79 years), who were conformed to the study criteria and admitted to our hos...
Review
Advances in the research of application of metabonomics in the treatment of severe burn or trauma
Ding Hongfan, Zheng Xingfeng, Xia Zhaofan
2019, 35(6): 467-471. doi: 10.3760/cma.j.issn.1009-2587.2019.06.014
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Metabolic disorder is one of the most obvious pathophysiological characteristics of patients with severe burn or trauma, which leads to high mortality of patients with severe burn or trauma. Metabonomics is a newly developed subject which provides new research concepts and ideas for studying the cha...
Advances in the research of application of skin-stretching device in wound closure
Tan Yuan, Wang Hong, Zhi Yan, Lin Xiaoying
2019, 35(6): 471-474. doi: 10.3760/cma.j.issn.1009-2587.2019.06.015
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Skin-stretching device as a new treatment method of wound closure has been recognized by many discipline fields. Through continuous improvement and adjustment in clinical application, it has achieved remarkable results in some departments. This article summarizes the basic theory, history, classific...
Advances in the research of influence of pH value on healing of chronic wounds
Wang Yue, Li Xian, Zhao Wei, Gao Zhanhong, Zheng Meijie, Pang Yuling, Chen Ziye
2019, 35(6): 474-476. doi: 10.3760/cma.j.issn.1009-2587.2019.06.016
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Chronic wounds are with characteristics of long last time and cannot heal in time, which is a problem in clinic. Wound pH value plays an important role in the process of healing of chronic wounds. In this paper, we review the relative researches on wound pH value and wound microenvironment, summariz...
Advances in the research of application of maggot therapy in chronic wounds
Han Xinyi, Lyu Guozhong
2019, 35(6): 477-480. doi: 10.3760/cma.j.issn.1009-2587.2019.06.017
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Maggot therapy is a kind of biological therapy that uses maggot to eat and remove the necrotic tissue of wounds, while it has no adverse effect on living tissue with blood supply. Besides, maggot therapy can promote wound healing through various mechanisms, which has been used for debridement and tr...

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