Treatment of pogenic granuloma after burns

来源 :首届全国组织修复与再生医学大会暨国际组织修复与再生医学学术研讨会 | 被引量 : 0次 | 上传用户:htvit
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  Objective.The objective of this retrospective study was to assess the clinical results of cases treated with various therapeutic regimens.Methods.This study included all cases of pyogenic granuloma after burns diagnosed between 2003 and 2013 at our centre.Diagnoses and treatments were based on clinical features, biological data and pathological examination.Results.Fifteen patients ranged in age from 1 to 58 years old.The male-to-female ratio was 10∶5.Cases corresponded to burns from scalding, flames, and electric sparks.The pyogenic granuloma after burns were located on the face, trunk and limbs.Bacteria or fungi from the wounds of 11 cases were cultured including Pseudomonas aeruginosa, Staphylococcus aureus, Staphylococcus haemolyticus, and Candida albicans.One case mixed with Yersinia kristensenii and Staphylococcus haemolyticu, the other one case mixed with Enterococcus faecalis and Candida albicans.Ten cases were healed completely by conservative treatment.Full-thickness excision was performed in 3 cases, including 2 grafts and 1 primary closure.Shave excision was performed in 2 cases with complete healing.No recurrence was noted postoperatively, with the exception of 1 case that recurred 7 days after a shave excision.Conclusions.Pyogenic granuloma after burns is a benign condition that differs from classic pyogenic granuloma.The infectious agent is important to consider.Pyogenic granuloma after burns can be resolved through conservative treatment although a long period of time is required for spontaneous involution.Treatment via full thickness excision should be chosen carefully due to complications, the dangers of general anaesthesia and blood loss during the operation.
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