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复合皮移植治疗功能部位烧伤及整形的效果 被引量:1

Application of composite skin transplantation in the treatment and plasty of burn wound at functional region
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摘要 目的总结异体真皮支架与自体刃厚皮复合移植在功能部位烧伤及整形中的应用经验与体会。方法本组18例。其中,男16例,女2例;年龄2~54岁;烧伤早期切痂11例16个部位,后期整形7例11个部位;受皮面积为30~300cm2;复合皮移植手术方法分1步法和2步法两种。结果本组18例27个部位成活25处,2处因固定欠佳或感染失败,成活率92.6%。术后随访11例8~12个月,功能部位植皮区外观平整,柔软度和弹性可以满足功能需要,颜色接近正常皮肤。结论复合皮替代中厚皮成活率高,减少瘢痕畸形能恢复功能。 Objective To summarize the experiences and realizations from composite gratis in the treatment and plasty of burn woukd at functional region by xenodcrmal frame and autlolgous thiu split- thickness sheet. Methods 18 patients aged 2-54 years received composite skin. Among them,16 regio,rs of II cases were operated on with the first time escharectomy, and of II regioas 7 cases were operated on with the plastic reconstruction at later stage.The area of skin transplantation was from 30cm^2 to 300cm^2.The patients were subjected to composite skin transplantation of one or two-step. Results 25 of 27 regions were survived, and others were failed due to i,lfection or firmless fixation. The survival rate was 92.6%.Long-term follow-up from 8 to 12 months in I I patients showed good functional result with zone site's flat, softness and elasticity and the grafted skin looked like normal skin. Conclusion This treatment method can achieve high survival percentage of the skin grafts and rectify defor,nities and dysfunctions effectively. Composite skin is the substitute of split thick skin and merits extensive clinical application.
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出处 《实用医药杂志》 2007年第8期910-911,共2页 Practical Journal of Medicine & Pharmacy
关键词 复合皮移植 烧伤 整形 Composite skin transplantion Burn Plasty
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