Lazerinės doplerografijos vertė nudegimų diagnostikoje ir gydyme

The main treatment of deep burns is early excision of injuried tissues which reduce inpatient stay and decrease the cost of treatment. The clinical burn depth examination is still widely used in clinical practice which isn‘t accuracy and belongs of physician experience. The laser doppler imaging is mostly use method of burn depth examination. The aim of study – to estimate the accuracy of different methods of 2A and 2B degree of burn depth examination and to assess the importance of these methods of burn wound spontaneous epithelization. Methods. Prospective clinical study of 44 burned patients. The burned patients were examined 72 hours, 7 and 14 days after injury. The clinical burn depth examination, laser doppler imaging and tissue biopsy were made for all burned patients. The accuracy, sensitivity and specificity of different methods were analyzed. The burned tissue perfusion velocity and spontaneous burn wound epithelization were analyzed using laser doppler imaging examination. Results. The flame was the main reason of burn. Most of burn patients were male. The perfusion velocity was higher of conservatively treated patients compared with surgery patients. The critical perfusion velocity was since 55 to 149 PU. The perfusion velocity higher than 149 PU concluded higher rate of spontaneous burn wound epithelization. Conclusions. The laser doppler imaging enables to prognosticate spontaneous epithelization of burn wound and welltime select for surgical treatment of burned injuries.http://dx.doi.org/10.5200/sm-hs.2013.053 Article in Lithuanian