2021 Vol. 37, No. 4

2021, 37(4): F1-F1.
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2021, 37(4): 311-311.
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2021, 37(4): 326-326.
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2021, 37(4): 332-332.
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2021, 37(4): 355-355.
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2021, 37(4): 362-362.
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2021, 37(4): 376-376.
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Expert Forum
Tumor characteristics of keloid
Jia Chiyu, Chen Lingxi
2021, 37(4): 301-305. doi: 10.3760/cma.j.cn501120-20200529-00289
Abstract:

In clinical work, it is observed that keloid has significantly different characteristics from other types of scar such as hypertrophic scar. The growth of keloid usually exceeds the margin of original wound and continuously invades the surrounding skin, and keloid has a certain recurrence rate after...

Elite Comments
Deliberation on the similarities and differences of the diagnosis and treatment of scars and keloids in China and Japan
Lyu Kaiyang, Xia Zhaofan
2021, 37(4): 306-311. doi: 10.3760/cma.j.cn501120-20200629-00332
Abstract:

The incidence and clinical manifestations of scars and keloids are different in different races, and Asians are more likely to suffer from this disease than Caucasians. China and Japan are the representative countries for medical development in Asia. There is no comprehensive study on the similariti...

Burn Rehabilitation
A prospective randomized controlled study of the effects of balance training combined with routine training on patients with lower limb motor and balance dysfunction after severe burns
Ru Tianfeng, Li Feihong, Xie Weiguo, Chen Pei, Yuan Lin
2021, 37(4): 312-318. doi: 10.3760/cma.j.cn501120-20201018-00441
Abstract:

Objective To observe the effects of balance training combined with routine training on patients with lower limb motor and balance dysfunctions after severe burns. Methods A prospective randomized controlled study was conducted. From January 2016 to January 2020, sixty-four patients with lower limb m...

Effects of hand continuous passive motion system combined with functional training and pressure gloves in treating early scar contracture after burn on the back of the hand
Zhao Haiyang, Han Juntao, Liu Jiaqi, Wang Hongtao, Zhou Qin, Zhu Chan, Lu Ying, Hu Dahai
2021, 37(4): 319-326. doi: 10.3760/cma.j.cn501120-20201020-00443
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Objective To observe the effects of hand continuous passive motion (CPM) system combined with functional training and pressure gloves in treating early scar contracture after burn on the back of the hand. Methods A retrospective cohort study was conducted in 43 patients who met the inclusion criteri...

Effect analysis of sequential laser application in treating the hypertrophic scars of burn children at early stage
Xie Chunhui, Gao Xinxin, Meng Xianglong, Chen Kexin, Zhang Xiuhang, Zhou Xin, Yu Jia'ao
2021, 37(4): 327-332. doi: 10.3760/cma.j.cn501120-20201214-00526
Abstract:

Objective To explore the effects of sequential application of intensive pulsed light and carbon dioxide laser in treating the hypertrophic scars of burn children at early stage. Methods A retrospective cohort before-after control study in the same patients was conducted. From January 2016 to Decembe...

Original Article
Establishment of a predictive model for acute respiratory distress syndrome and analysis of its predictive value in critical burn patients
Ren Haitao, Chen Huaqing, Han Chunmao
2021, 37(4): 333-339. doi: 10.3760/cma.j.cn501120-20200301-00109
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Objective To establish a predictive model for acute respiratory distress syndrome (ARDS) in critical burn patients with the screened independent risk factors, and to validate its predictive value. Methods Totally 131 critical burn patients (101 males and 30 females, aged 18-84 years) who met the inc...

Epidemiological characteristics and outcome analysis of 266 patients with inhalation injuries combined with total burn area less than 30% total body surface area
Jiang Yong, Wang Kang'an, Wang Baoli, Hu Lunyang, Zhu Banghui, Wu Guosheng, Sun Yu, Xia Zhaofan
2021, 37(4): 340-349. doi: 10.3760/cma.j.cn501120-20200229-00106
Abstract:

Objective To explore the epidemiological characteristics and treatment outcomes of patients with inhalation injuries combined with total burn area less than 30% total body surface area (TBSA). Methods A retrospective observational study was performed on medical records of 266 patients with inhalatio...

Clinical effects of pre-expanded anterior perforator flap of transverse cervical artery and pre-expanded thoracic random flap in reconstructing extensive facial and cervical scar in relay
Hou Jian, Song Huifeng, Chen Baoguo, Xu Minghuo, Gao Quanwen, Wang Jue, Chen Shuai, Wang Fang, Wu Jiang, Chai Jiake
2021, 37(4): 350-355. doi: 10.3760/cma.j.cn501120-20201023-00445
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Objective To explore the clinical effects of pre-expanded anterior perforator flap of transverse cervical artery in extensive facial and cervical scar reconstruction and contralateral pre-expanded thoracic random flap in relay in donor site repair. Methods A retrospective cohort study was conducted....

Clinical effects of retrograde anterolateral thigh perforator flaps assisted with computed tomography angiography in repairing skin and soft tissue defects around the knee or in proximal lower leg
Zhao Shuming, Liu Yaming, Liu Na, Zhang Hongliang, Song Zhanfeng, Gao Wenhua, Lan Yuehui, Fan Anwei, Liu Xueliang
2021, 37(4): 356-362. doi: 10.3760/cma.j.cn501120-20200905-00401
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Objective To investigate the clinical effects of retrograde anterolateral thigh perforator flaps assisted with computed tomography angiography (CTA) in repairing skin and soft tissue defects around the knee or in proximal lower leg. Methods A retrospective cohort study was conducted. From May 2015 t...

Indications, selection, and effect of flap application in repairing scar carcinoma in the lower leg and ankle
Liang Weiqiang, Shi Fen, Zhang Jian, Zhang Jiaqi, Xiao Xiaolian, Zhang Jinming
2021, 37(4): 363-368. doi: 10.3760/cma.j.cn501120-20200227-00099
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Objective To explore the indications, selection, and effect of flap application in repairing scar carcinoma in the lower leg and ankle. Methods A retrospective cohort study was conducted. From June 2008 to December 2018, six male patients with scar carcinoma in the lower leg and ankle were treated i...

Expression and effect of microRNA-627 in human hypertrophic scar
Guo Bingyu, Lin Feng, Hui Qiang, Wang Hongyi
2021, 37(4): 369-376. doi: 10.3760/cma.j.cn501120-20200225-00090
Abstract:

Objective To investigate the expression and effect of microRNA-627 (miR-627) in human hypertrophic scar. Methods The experimental research method was used. From October 2019 to January 2020, hypertrophic scar tissue from 6 patients with hypertrophic scar (2 males and 4 females, aged (34±11) years) a...

Wound Repair
Clinical effects of axillary propeller flaps in reconstructing the axillary fold scar contracture
Duan Mengting, Liang Pengfei, Zhang Pihong, Zhang Minghua, Ren Licheng, Wu Ying, Zeng Jizhang, Guo Le, Hu Jiaxiong, Cui Xu, Huang Mitao, Zhou Situo, Huang Xiaoyuan
2021, 37(4): 377-381. doi: 10.3760/cma.j.cn501120-20201012-00433
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Objective To explore the clinical effects of axillary propeller flaps in reconstructing the axillary fold scar contracture. Methods A retrospective cohort study was conducted. From July 2016 to January 2020, 11 patients with anterior axillary fold or anterior and posterior axillary fold scar contrac...

Comprehensive treatment of 25 cases of acute necrotizing fasciitis
Zhao Hailei, Zhao Xiaohui, Yang Bin, Shi Ming, Sun Zhigang
2021, 37(4): 382-385. doi: 10.3760/cma.j.cn501120-20200426-00238
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From May 2013 to March 2020, 25 patients with acute necrotizing fasciitis were admitted to Beijing Chaoyang Emergency Rescue Center, including 18 males and 7 females, aged 7 to 78 years. The lesions were mainly located in the lower extremities, with the original lesion areas ranging from 20 cm×15 cm...

Review
Research advances on the mechanism of fractional laser in treating scars
Liu Huazhen, Lyu Kaiyang
2021, 37(4): 386-390. doi: 10.3760/cma.j.cn501120-20200315-00166
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Scars are the result of abnormal repair of skin tissue trauma. Recently, fractional laser is more and more widely used in the treatment of scars, but its mechanism is not clear. Studies have shown that fractional laser could produce multiple microthermal zones in target skin, induce wound repair res...

Research advances on the effects and mechanism of curcumin in promoting diabetic wound healing
Tu Zhuolong, Lin Cai
2021, 37(4): 391-394. doi: 10.3760/cma.j.cn501120-20200224-00089
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Diabetic wound is a common complication of diabetes, and the effect of current treatment is still poor. Curcumin has many pharmacological effects, such as anti-inflammatory, anti-oxidation, antimicrobial, anti-cancer, and improving insulin resistance. In this paper, the research advances on the effe...

Research advances on platelet-rich blood products combined with biological materials in wound repair
Liu Lubing, Wen Huicai, Huang Jinjun, Xu Guizhen, Liao Huaiwei
2021, 37(4): 395-400. doi: 10.3760/cma.j.cn501120-20200531-00291
Abstract:

The efficient management of wounds is the focus of current research. In addition to conventional wound management and necessary surgery, the role of pro-healing drugs in wound treatment has gradually been emphasized. Platelet-rich blood products that is rich in a variety of biologically active molec...