* 해당 내용은 AWT 에 대한 정보성 내용으로 논문에서 발췌된 내용입니다.

* 논문 영문 번역을 진행하여 작성자의 의견을 들어있지 않은 [ 정보성 ] 글로 발행되었습니다.

* 원문은 필요하신 분들은 info@wmedix.com으로 문의주시기 바랍니다. 

[논문정보] Acoustic Wave Therapy for the Treatment of Extensive Scar Fields: A Case Report

[ 사례보고 논문]

A 63-year-old woman from Bahrain presented to us in June 2013. 

She suffered a serious accident in January 2012 due to scalding with hot water. 

Due to the severity of the burns, which were not only large-scale but also deep, 

the patient was in an intensive care unit for 2 months in a medically induced coma.

During a 17-day stay in Zurich (June 10, 2013 to June 27, 2013), 

the patient was treated 14 times with AWT with the Cellactor SC1 (Storz Medical). 

Due to the astonishing subjective and objective improvement of the findings, 

she returned to Zurich the following year and received eight more rounds of 

treatment with the AWT over a period of 13 days (August 13, 2014 to August 26, 2014)

전신 화상을 입고 HTS(비후성 흉터) 발생 1년 후 17일 간 14회 치료. 

처음 치료를 받고 1년 후 13일 간 추가 8회 치료. 

The same area was then treated with the C-Actor at 0.45 mJ/mm2, 1,000 pulses, 2.0 Hz. Despite the patient's high level of pain, 

the treatment was tolerated without any problems. On the one hand, t

he patient should be able to feel the treatment well, but on the other hand,

 it should not be perceived as painful. Only low energies can be used over bony structures as well as over the entire chest, 

which is why the energy with the C-Actor was reduced there to 0.33 mJ/mm2. 

[ 치료 방법 ]

두 손바닥 면적당 

V-Actor 8hz 3,000 pulse 

SC1(SD1) C-Actor 0.33-0.45mj/mm 2hz 1,000 pulse

HTSs occur in up to 91% of burns, depending on the depth of the wound. 

While superficial abrasions, cuts, or cracks usually heal without scars, 

scars occur when the deep dermis is injured. 

The pathophysiology of HTS formation includes a hyperactive phase of proliferation in wound healing.

 A large number of cells (macrophages, fibroblasts, keratinocytes), cytokines, and growth factors participate in this process.

HTS는 상처 깊이에 따라 화상의 최대 91%에서 발생.

상처 깊이는 진피의 심부층까지 손상이 있을 때 상처 치유과정에서 과잉 증식에 의해  흉터 발생.

AWT를 통해 경화된 섬유 다발을 풀어주는 물리적 효과와 더불어 

신생혈관 형성, 혈액 및 림프 순환 증가, 성장 인자 및 줄기 세포 자극을 통한

 세포재생을 일으키는 생물학적 효과를 통해 흉터 개선.