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STEVEN F. SWAIM 《Veterinary dermatology》1997,8(4):249-257
Abstract In the past 5 years advances in the management of wounds in dogs and cats have included the development of materials and techniques used to enhance the healing of both open and closed wounds. New topical and locally injected medications as well as new bandaging materials have been evaluated. The use of omental flaps to enhance wound healing has been found to be promising. Ultrasonography has been found useful in assessing wound tissues to guide treatment. Because tension is a major factor in dealing with wound closure, skin expanders, skin stretchers, presutures and adjustable horizontal mattress sutures have been described as means of overcoming tension. Recently completed research projects at the Scott-Ritchey Research Center studied the woundhealing effects of fibrin sealants, topical bovine collagen, omega-3 fatty acid-enriched diets and magnetic field therapy. Projects underway are evaluating the healing effects of a new biological tissue adhesive, a macrophage stimulant and a thromboxane synthestase inhibitor. Parameters for evaluating wound healing have included histopathology, tensiometry, planimetry, laser Doppler image scanning, biochemistry and immunohistochemistry. Resumen En los últimos 5 años, algunos de los avances en la curación de heridas en perros y gatos ha incluido el desarrollo de materiales y técnicas utilizados para mejorar la curación tanto de heridas cerradas como abiertas. Se han evaluado nuevas medicaciones tópicas y sistémicas asi como nuevos marteriales de vendaje. El us0 de injertos omentales para estimular la curación de heridas ha mostrado resultados prometedores. La ecografia es un método éutil en la valoración de los tejidos lesionados para guiar el tratamiento. Debido a que la tensión es un factor importante en el caso de cerramiento de heridas, se describen como métodos de evitar la tensión productos como expansores cutáneos, estiradores cutáneos, presuturas y suturas cutáneas horizontales acolchonadas ajustables. Algunos proyectos de investigación recientemente finalizados en el Centro de Investigación Scott-Ritchey estudiaron los efectos sobre la curación de heridas de selladores de fibrina, colágeno tópico bovino, dietas enriquecidas con ácido graso omega-3 y terapia de campo magnético. Otros proyectos en realización están evaluando los efectos curativos de un nuevo adhesivo tisular biológico, un estimulante de macrófagos y un inhibidor de la tromboxano-sintetasa. Los parámetros para evaluar la curación de herida han incluido la histopatología, la tensiometría, la planimetría, el scanner por imágen doppler laser, bioquímica e inmunohistoquímica. [Swaim, S.F. Advances in wound healing in small animal practice: current status and lines of development (Avances en la curcion de heridas en pequeños animales: estado actual y lineas de desarrollo). Veterinary Dermatology 1997; 8 : 249–257] Zusammenfassung In den letzten 5 Jahren wurden Fortschritte in der Wundversorgung bei Hund und Katze unter anderem durch die Entwicklung von Materialien und Techniken erzielt, die zur besseren Heilung von offenen und geschlossenen Wunden verwendet werden. Neue lokale und systemische Medikamente sowie neue Verbandsmaterialien wurden untersucht. Die Verwendung von Omentumlappen zur Verbesserung der Wundheilung scheint vielversprechend zu sein. Ultraschalluntersuchungen waren von Nutzen, um Wundgewebe zu beurteilen und die Behandlung zu lenken. Spannung ist ein wesentlicher Faktor im Wundverschluss, Hautexpander, Hautdehner, vorbereitende Nähte und regulierbare, horizontale Matratzennähte wurden zur Überwindung der Wundspannung beschrieben. Kürzlich fertiggestellte Forschungsprojekte am Scott-Ritchie Research Center erforschten die Effekte von Fibrindichtungsmitteln, lokalem bovinen Kollagen, Futtermitteln mit Omega-3 Fettsäurenzusatz und Magnetfeldtherapie. Gegenwärtige Forschungsprojekte bewerten die Heilungseffekte eines neuen, biologischen Gewebehaftmittels, eines Makrophagenstimulans und eines Thromboxansynthetasehemmers. Parameter zur Bewertung der Wundheilung waren Histopathologie, Tensiometrie, Planimetrie, Laser Doppler, physiologische Chemie und Immunhistochemie. [Swaim, S.F. Advances in wound healing in small animal practice: current status and lines of development (Fortschritte bei der Wundheilung in der Kleintierpraxis: Derzeitiger Stand und Entwicklung). Veterinary Dermatology 1997; 8: 249–257] Résumé Durant les 5 dernières années, le progrés dans le traitement des plaies chez les chiens et les chats ont inclus le développement de matériaux et de techniques utilisés pour augmenter la cicatrisation des plaies ouvertes et fermées. De nouvelles médications topiques et systémiques ainsi que de nouveaux matériaux de bandages ont étéévalués. L'utilisation de lambeaux d'éplipon s'est révélée prometteuse dans l'amélioration de la cicatrisation des plaies. L'ultrasonographie s'est montrée utile dans le traitement de guidance de l'évaluation des plaies tissulaires. La tension étant un facteur major lors de la fermeture de plaies, expansseurs cutanés, étireurs cutanés et surjets de matelassier ajustables ont tous été décrits comme moyens permettant de vaincre la tension. Récemment des projets de recherche achevés au Scott-Ritchey Research Center ont étudiés les effets des joints de fibrine, du collagène bovin topique, des régimes enrichis en acides gras omega-3 et de la thérapies de champs magnétiques sur la cicatrisation des plaies. Les projets mis en route sont l'évaluation des effets sur la cicatrisation d'un nouvel adhésif tissulaire biologique, d'un stimulant de macrophages et d'un nouvel inhibiteur de la thromboxane synthase. Les paramètres intervenant dans l'évaluation de la cicatrisation des plaies ont inclus l'histopathologie, la tensiométrie, la planimétrie, le laser Doppler, l'imagerie, la biochimie et l'immunohistochimie. [Swaim, S.F. Advances in wound healing in small animal practice: current status and lines of development (Progres de la cicatrisation en pratique des petits animaux: etat actuel et lignes de developpement). Veterinary Dermatology 1997; 8 : 249–257] 相似文献
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Effect of bandaging on second intention healing of wounds of the distal limb in horses 总被引：1，自引：1，他引：0
Objective To evaluate the effect of a non-occlusive dressing incorporated in a 3-layer bandage on second intention healing of wounds of the distal portion of the limb.
Study Design Untreated wounds in 33 adult horses used in four studies using the same wound-healing model conducted over 5 years.
Methods Standardised, full-thickness wounds were made in the skin overlying the dorsomedial aspect of the mid-metacarpus; 17 horses were bandaged with a non-occlusive dressing covered by gauze-coated cotton wool that was compressed with adhesive tape; 16 horses were left unbandaged. Wounds were photographed weekly for 9 weeks and the images were analysed electronically.
Results There were significant effects associated with bandage (P < 0.0001), week (P < 0.001), and bandage by week interaction (P < 0.0001). There was no difference in wound area at the first time-point after wound creation (P = 0.38). After week 1, there was a difference between bandaged and unbandaged wounds in wound area at each measurement until the end of the study. Bandaged wounds showed greater and more prolonged retraction. Unbandaged wounds retracted for 2 weeks before beginning to contract, whereas bandaged wounds continued to retract for 3 weeks. In bandaged wounds excess granulation tissue required regular trimming, but not in unbandaged wounds. There was no difference between groups in the total days to healing or the overall rate of healing.
Conclusions These results should be treated with caution until validated with contemporaneous, controlled studies. Covering a wound with a non-occlusive dressing in a 3-layer bandage led to greater wound retraction, modulated the rate of wound contraction and promoted excessive granulation tissue. If excessive granulation tissue is excised regularly, bandaging has no effect on total time to healing. 相似文献
Study Design Untreated wounds in 33 adult horses used in four studies using the same wound-healing model conducted over 5 years.
Methods Standardised, full-thickness wounds were made in the skin overlying the dorsomedial aspect of the mid-metacarpus; 17 horses were bandaged with a non-occlusive dressing covered by gauze-coated cotton wool that was compressed with adhesive tape; 16 horses were left unbandaged. Wounds were photographed weekly for 9 weeks and the images were analysed electronically.
Results There were significant effects associated with bandage (P < 0.0001), week (P < 0.001), and bandage by week interaction (P < 0.0001). There was no difference in wound area at the first time-point after wound creation (P = 0.38). After week 1, there was a difference between bandaged and unbandaged wounds in wound area at each measurement until the end of the study. Bandaged wounds showed greater and more prolonged retraction. Unbandaged wounds retracted for 2 weeks before beginning to contract, whereas bandaged wounds continued to retract for 3 weeks. In bandaged wounds excess granulation tissue required regular trimming, but not in unbandaged wounds. There was no difference between groups in the total days to healing or the overall rate of healing.
Conclusions These results should be treated with caution until validated with contemporaneous, controlled studies. Covering a wound with a non-occlusive dressing in a 3-layer bandage led to greater wound retraction, modulated the rate of wound contraction and promoted excessive granulation tissue. If excessive granulation tissue is excised regularly, bandaging has no effect on total time to healing. 相似文献
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以3年生胸径4 ～5 cm和4年生胸径6～8 cm的白榆为砧木嫁接中华金叶榆,研究不同嫁接时间和嫁接口绑扎方式对成活率和成苗率的影响.结果表明:3月30日至4月30日期间(即砧木展开1～2片小叶后延续30d)嫁接成活率均达到了90％以上,显著高于其他嫁接时间,主枝长度较长;插入接穗后,先在砧木接面上捆扎0.008mm的塑料薄膜,取一塑料袋,使之分别缠绕于接穗切口,并覆泥土于断面的袋上,最后用0.04 mm普通塑料膜自下而上捆扎,伤口愈合后用刀将塑料膜的捆扎处挑破.这种嫁接口绑扎方式成活率92％、成苗率88％,显著高于其他绑扎方式. 相似文献
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