[网状自体中厚皮片与异种真皮基质复合移植的临床研究]
[A clinical study on composite transplantation of meshed split-thickness autograft and heterologous dermal matrix].
作者信息
Feng Xiangsheng, Tan Jiaju, Du Yongjun, Ruan Shubin, Pan Yingen
机构信息
Department of Burns, First Hospital, Foshan 528000, China.
出版信息
Zhonghua Zheng Xing Wai Ke Za Zhi. 2002 Sep;18(5):269-70.
OBJECTIVE
To investigate the feasibility of the composite transplantation of 1:3 meshed split-thickness autograft and acellular heterologous (porcine) dermal matrix.
METHODS
9 inpatients with full thickness skin burn or hypertrophic scar were selected in this study. After the eschar or scar was excised, the wound was covered with acellular heterologous dermal matrix. Then the meshed (1:3) split-thickness autologous skin sheet was grafted on the dermal matrix. Before dressing up, the radiated pigskin was placed on the composite transplants.
RESULTS
The composite transplantation was successfully used in 9 cases. The meshed split-thickness autograft was expanded 3 times and covered the dermal matrix tightly. The clinical results of the composite transplantation were similar to that of intermediate split thickness skin graft or full thickness skin graft.
CONCLUSION
The composite transplantation of meshed (1:3) split-thickness autograft and acellular heterologous (porcine) dermal matrix allowed the expansion of the autologous skin sheet to 3 times. The clinical results were similar to that of intermediate split thickness skin graft or full thickness skin graft.
目的
探讨1:3网状自体断层皮片与脱细胞异种（猪）真皮基质复合移植的可行性。
方法
本研究选取9例全层皮肤烧伤或肥厚性瘢痕住院患者。切除焦痂或瘢痕后，创面覆盖脱细胞异种真皮基质。然后将网状（1:3）自体断层皮片移植于真皮基质上。换药前，将辐照猪皮置于复合移植物上。
结果
9例复合移植均成功。网状自体断层皮片面积扩大了3倍，并紧密覆盖真皮基质。复合移植的临床效果与中厚皮片移植或全厚皮片移植相似。
结论
1:3网状自体断层皮片与脱细胞异种（猪）真皮基质复合移植可使自体皮片面积扩大至3倍。临床效果与中厚皮片移植或全厚皮片移植相似。
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