Assessment of wound healing is a complex task, especially when the lesion is associated to significant (full thickness) loss of the skin. The clinical observation, essentially subjective and highly dependent on the observer's experience, creates difficulties in the comparison of results. Scoring scales were introduced in the clinical practice to create comparable semi-quantitative data and promote better management of resources, but its usefulness in a clinical perspective is still limited. New non-invasive biometric methodologies, although infrequently used, have opened new possibilities. While complementing the clinical observation and contributing to therapeutic decisions and prognosis, they may also help to look further into the pathophysiological mechanisms of scarring drugs rehabilitation. Following previous work in this arena, the authors review, the state-of-the-art of cutaneous wound healing clinical and biometric follow up, proposing a diagnosis correlation for the most relevant descriptors found in both strategies in order to fully characterise the different stages of the healing process.

译文

:伤口愈合的评估是一项复杂的任务,尤其是当病变与皮肤的严重(全层)损失有关时。临床观察本质上是主观的,并且高度依赖观察者的经验,因此在比较结果时会遇到困难。在临床实践中引入了评分量表,以创建可比较的半定量数据并促进更好的资源管理,但其在临床上的实用性仍然有限。尽管不经常使用新的非侵入式生物统计方法,但也开辟了新的可能性。在补充临床观察并有助于治疗决策和预后的同时,它们还可能有助于进一步研究疤痕药物康复的病理生理机制。在此领域的先前工作之后,作者回顾了最新的皮肤伤口愈合临床和生物测定学随访情况,提出了两种策略中最相关的描述符的诊断相关性,以全面表征不同的阶段愈合过程。

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