??Maggot ??????????? -??????????-

1
??Maggot ???????????-??????????-

• ?????????
• Ta8951034 ???

2
???????

• ??????????????????????????????????????????,??????
  ?? ???,????????????????????

3

• ??????????????????,???????????????????????

4
???????????

• 1.????????????
• 2.?????????
• 3.???????????
• 4.???????????
• 5.????????????

(?,2007)
5
?????

• ????
• ?????????
• ????????
• ????
• ????,??????
• ??????
• ?????????,????????????????,??????????
• ???????
• ????????????,???????,??????,????????????????

(?,2007)
6
??-1

• 18??????????????,?????????????????????????,???????
  ??????????????
• 18????????(Pasteur)???????,????????????????,??????
  ?????????????

7
??-2

• 1930?,???????????,??????(Stanton
  Livingston)????????????,????????????????
• 1935???????????????????
• 1941?Radcliffe Hospital, Oxford???(Dr Floreys
  wife Mary)????????(Penicillin) ??????????????
• 1963???(Hinman)????(Maibach)??????,???????????????
  ????????

8
??-3

• 1970?,??????????(transparent semi permeable film
  dressing) ????,???????(Op-site) ?
• 1980-1985?,???????????????????????,?????????(hydro
  colloidal dressing)??
• ?1984?,??????????????????,???????(alginates)????
  ????(absorbent gels)??
• ??????????,????(growth factors)???
• FGF-1(acidic Fibroblast Growth Factor
  )??????????????????
• ?????(hyperbaric oxygen therapy)??????(laser
  therapy)??

9
??-4

• 1930??,?????????????,???????????
• ????????????,???????,???????
• 1990????,????????????(Maggot Debridement Therapy
  (MDT) ,????????,????????????????
• ???????????????????(FDA)????????????,?????????(med
  ical device)??????,???FDA??,?????????????????????
  
• ?????????????????????????????????

10
???1930??1990??60???????

• ????????,?????????
• ???????????????????,?????????
• ????????,????????????
• ?????????????,?????????,??????????
• ????????????,???????
• ?????????????
• ??????

11
?????????

• ????????????????????????
• ?????????????????,??????????(?????????),??????
  ???????????FDA??,???????,??????,???????????,50???
  ???????????,???????????
• ?????,?????
• ???????????????????
• ????????,???????????????????????
• ??????????-???????

12
What's New in Maggot Therapy?

• The BioTherapeutics, Education and Research
  (BTER) Foundation and the University of
  California are co-sponsoring a workshop to train
  health care providers in the Principles and
  Practice of Maggot Therapy. The workshop will be
  held on March 9, 2007. More details can be found
  on the BTER Foundation web site,
  www.bterfoundation.org, or on the UC Riverside
  Extension website, www.extension.ucr.edu/cme/cme_a
  ctivity.html.

13
http//biotherapy.md.huji.ac.il/
SHARE
http//www.ucihs.uci.edu/som/pathology/sherman/hom
e_pg.htm
http//www.bterfoundation.org/
14
????

• ???????????(2004) ??????????????????,26(5),153-159
  ?
• ???(2004)? ? ?????????????,?? http//61.220.65.98
  /newsphotodiaryDetail.asp?pd_id?
• ???????????http//www.ha.org.hk/poh/wdtrend.htm?
• ???(2007) ????????http//barryhsu.com/Wound_care.h
  tm?
• Maggot (2008/5/18) ???http//en.wikipedia.org/wiki
  /Maggot?