浙江医学Issue(9):770-772,3.
磨痂保留变性真皮刃厚皮片移植修复深Ⅱ度烧伤创面疗效分析
Abrading treatment of retained denatured dermis and autologous razor-thin skin grafting for deep second-degree burns
摘要
Abstract
Objective To assess the feasibility of abrading treatment of retained denatured dermis and autologous ra-zor-thin skin grafting for deep second-degree burns wound. Methods The abrading of retained denatured dermis and autolo-gous grafting of large sheet razor-thin skin was performed on 33 burns in 20 patients with deep second-degree burns on hand or forearm. The survival, appearance and function of grafted skin were observed after wound healed. Results Al grafted skins survived, except 1/10 of grafted skin in one case was necrotic. And after 3 to 12 months of fol ow-up, the grafted skins were e-lastic and flexible with a bit of pigmentation;there were no"goose bump", sebaceous cyst, hyperplastic scar or"two skins"formed. The skin-grafted hands functioned wel . The overal rate of perfectness reached 91.3%after operation. Conclusion The abrad-ing treatment of retained denatured dermis and autologous razor-thin skin grafting is a feasible minimal y invasive surgery for treatment of deep second-degree burns.关键词
烧伤/磨痂/真皮/刃厚皮片/皮肤移植Key words
Burns/Eschar abrading/Dermis/Razor-thin graft/Skin graft引用本文复制引用
吴继炎,郑国平,傅智慧,程翔,杨建秋,吕瑞林,谷松坡,李小奇..磨痂保留变性真皮刃厚皮片移植修复深Ⅱ度烧伤创面疗效分析[J].浙江医学,2013,(9):770-772,3.基金项目
杭州市科技局重点专科专病资助项目 ()