Ma Zhong-feng, Chai Jia-ke, Yang Hong-ming, Liu Qiang, Xu Ming-huo, Yin Hui-nan
Department of Burns and Plastic Surgery, Burns Institute, 304th Clinical Department of General Hospital of PLA, Beijing 100037, China.
Zhongguo Wei Zhong Bing Ji Jiu Yi Xue. 2005 Feb;17(2):92-4.
To observed the effect of healing quality of composite skin grafting consisting of acellular porcine dermal matrix combined with autologous split-thickness skin graft.
Porcine skin was treated with dispase II/triton X-100 or hyperosmotic saline/sodium-dodecyl-sulfate (SDS) respectively, and acellular porcine dermal matrix I (APDMI) and APDM II were obtained. Sixty-three Sprague-Dawley rats with full-thickness skin defects on the back were separately covered with APDMT + split-thickness autologous skin, or APDM II + split-thickness autologous skin. The quality of wound healing was observed, the rates of survival and contraction of the grafts were calculated, the tissue samples were harvested for histological examination, and compared with that of autologous split-thickness skin graft.
The wound healing quality of composite skin I, and II was good. There was no significant difference in the rate of survival and contraction of the grafts between the two composite skin grafting groups. It was indicated by histological examination intact basal membrane. There was no significant difference in the survival rate between composite skin grafting groups and autologous split-thickness skin at the 6 th week after operation, but the contraction rates of the grafts in the composite skin groups were lower.
Full-thickness skin defect can be healed by covering with acellular porcine dermal matrix produced by two methods combined with split-thickness autograft, and it can help improve the quality of wound healing.
观察脱细胞猪真皮基质联合自体刃厚皮片移植的复合皮片愈合质量。
分别用Ⅱ型胶原酶/曲拉通X-100或高渗盐水/十二烷基硫酸钠(SDS)处理猪皮,制备脱细胞猪真皮基质Ⅰ(APDMI)和脱细胞猪真皮基质Ⅱ(APDMⅡ)。将63只背部有全层皮肤缺损的SD大鼠分别用APDMT+自体刃厚皮片或APDMⅡ+自体刃厚皮片覆盖。观察创面愈合质量,计算皮片成活率和收缩率,取组织样本进行组织学检查,并与自体刃厚皮片移植进行比较。
复合皮片Ⅰ和Ⅱ的创面愈合质量良好。两组复合皮片移植的皮片成活率和收缩率差异无统计学意义。组织学检查显示基底膜完整。术后6周,复合皮片移植组与自体刃厚皮片移植组的成活率差异无统计学意义,但复合皮片组皮片的收缩率较低。
两种方法制备的脱细胞猪真皮基质联合自体刃厚皮片覆盖可修复全层皮肤缺损,有助于提高创面愈合质量。