脱细胞异体真皮基质在微创覆盖暴露骨质的深度烧伤创面中的作用——病例报告及组织学评估
Role of acellular dermal matrix allograft in minimal invasive coverage of deep burn wound with bone exposed--case report and histological evaluation.
作者信息
Gáspár Krisztián, Erdei Irén, Péter Zoltán, Dezsö Balázs, Hunyadi János, Juhász István
机构信息
Department of Dermatology, University of Debrecen, Medical and Health Science Centre, Debrecen, Hungary.
出版信息
Int Wound J. 2006 Mar;3(1):51-8. doi: 10.1111/j.1742-4801.2006.00175.x.
Abstract
A sandwich graft was applied to the debrided cortical bone layer of the tibia in the case of a 72-year-old male patient with full-thickness necrotic burn injury. The combined graft consisted of a dermal template material and autologous split thickness skin graft. After application, the graft was found totally accepted and provided good functionality with acceptable appearance. Histopathologic evaluation revealed a complete take with revascularisation of the implant. Supporting lamellar bony trabecules were also seen in the deep dermal dermis representing a connection to the underlying bone. The use of the dermal matrix in deep burn exposing the bone provides a satisfactory functional result and good cosmetic appearance.
摘要
对于一名72岁的男性全层坏死烧伤患者，在其胫骨清创后的皮质骨层应用了三明治移植术。联合移植由真皮模板材料和自体中厚皮片组成。应用后，发现移植完全被接受，功能良好，外观可接受。组织病理学评估显示移植完全存活，植入物有血管再生。在深层真皮中也可见支持性板层骨小梁，表明与下方骨骼相连。在暴露骨骼的深度烧伤中使用真皮基质可提供令人满意的功能结果和良好的美容外观。
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