摘要
目的：观察脱细胞异体真皮加自体薄皮混合移植对深度烧伤部分修复功能和整形外科中的治疗效果。方法：选择22例深度烧伤患者，应用脱细胞异体真皮与自体薄皮移植术混合移植于31处功能部位，紧密包扎及良好固定，记录移植皮片的存活率、创面收缩率。观察随访3个月～6个月时患者的肢体外观及功能恢复情况。结果：22例31处功能部位成活29处，2处因固定欠佳和皮下积血部分未能成活，总成活率（98±1．8）％，术后随访3个月～6个月，移植部位皮肤外观平整，色素沉着清，功能位瘢痕轻、柔软度、弹性及功能恢复良好，无排异反应。结论：脱细胞异体真皮加自体薄皮混合移植可减少功能部位瘢痕增生及畸形，改善功能和外观，缩短治疗周期且无排异反应。
Objective： To observe curative effects of acellular allogeneic dermis and autologous pellicle mixed transplantation in repairing deep-burned function spots and orthopedic surgery. Methods： Twenty-two patients with deep burn were chosen to perform mixed transplantation to 31 function spots by acellular allogeneic dermis adding autologous pellicle transplantation technique. The wounds were closely wrapped up and fixed well to record survival percentage of the skin grafting piece and injured area shrinkage, And the patients＇ body outward appearance and the situation of the function restoration of a follow-up visit for 3--6 months were made, Results： Of 31 function spots in 22 cases, twenty-nine survived and two function spots had not been able to survive because of the improper fixation and subcutaneous hematoma. The total survival rate was （98 ±1.8）%. All patients were followed up for 3- 6 months after operation and found the skin outward appearance of the transplanted spots was smooth, pigmentation was clear, the function position scar was light, and the softness, the elasticity and the function restoration were good. There were no rejections. Conclusions： Acellular allogeneic dermis adding the autologous pellicle mixed transplantation can reduce the scar proliferation and malformations of function spots, improve the function and outward appearance, shorten the treatment cycle and there are no rejections.
出处
《山西职工医学院学报》
CAS
2007年第3期9-10,共2页
Journal of Shanxi Medical College for Continuing Education
关键词
烧伤
皮肤移植
脱细胞异体真皮
burn
skin transplantation
acellular allogeneic dermis
