摘要
目的:探讨复合植皮技术在小儿外伤创面中的临床效果。方法:回顾性收集23例因各种原因外伤需要行植皮手术的患儿,根据创面封闭修复方式分为复合植皮组和自体植皮组,复合植皮组11例,自体植皮组12例。复合植皮组使用脱细胞异体真皮联合自体中厚皮片移植修复创面,自体植皮组采用自体中厚皮片移植修复创面。比较2组创面植皮存活率、创面愈合时间,移植6个月后观察植皮区色泽、弹性、瘢痕形成情况。结果:2组植皮成活率(90.90%vs 83.33%)、取皮创面愈合时间[(19.18±3.06) vs (18.58±3.37) d]、植皮处创面愈合时间[(13.27±3.34) vs (12.75±3.04) d],差异无统计学意义(P>0.05);复合植皮组移植皮片色泽分级、质地分级优于自体植皮组(P<0.05)。结论:脱细胞异体真皮联合自体中厚皮片复合植皮修复患儿外伤创面,瘢痕增生程度、皮片色泽及皮片质地均优于传统自体植皮修复创面。
Objective: To investigate the clinical effect of composite skin grafting in traumatic wounds in children. Methods: 23 children who underwent skin grafting for various reasons were retrospectively collected. They were divided into a composite skin graft group and an autograft skin group, 11 cases in the composite skin graft group, and 12 cases in the autograft skin group according to the wound closure repair method. The compound skin graft group used acellular allogeneic dermis combined with autogenous medium-thickness skin graft to repair the wound, and the autogenous skin graft group used autologous medium-thickness skin graft to repair the wound. The survival rate and wound healing time of the two groups were compared, and the color, elasticity, and scar formation of the skin graft area were observed 6 months after the transplantation. Results: The survival rate of composite skin grafting group was 90.90%, and the survival rate of autologous skin grafting group was 83.33%. The survival rate of two groups of epithelium was not statistically significant(P>0.05);The wound healing time in the composite skin grafting group was(13.27±3.34) days, and the wound healing time in the autologous skin grafting group was(12.75±3.04) days. The healing time of the two groups was not statistically significant(P>0.05);The color and texture of the skin grafts in the two groups were compared. The composite skin grafts were better, the scars were lighter, and the color and texture of the skin grafts were better than those of the autografts(P<0.05). Conclusion: Acellular allogeneic dermis combined with autogenous medium-thickness skin grafting repair children’s trauma wounds. The degree of scar hyperplasia, skin color and skin texture are better than traditional autogenous skin grafting.
作者
王帅
吕大伦
丁伟
王合丽
陈雷
Wang Shuai;LüDalun;Ding Wei(Department of Burn and Plastic Surgery,Yijishan Hospital,Wannan Medical College)
出处
《长治医学院学报》
2020年第2期134-137,共4页
Journal of Changzhi Medical College
关键词
脱细胞异体真皮
小儿
瘢痕
植皮
acellular allogeneic dermal matrix
children
scar
skin graft
