改良Meek技术治疗大面积烧伤的五年经验
Five years' experience of the modified Meek technique in the management of extensive burns.
作者信息
Hsieh Chun-Sheng, Schuong Jen-Yu, Huang W S, Huang Ted T
机构信息
Division of Plastic and Reconstructive Surgery, Zuoying Armed Forces Hospital, Kaohsiung, Taiwan.
出版信息
Burns. 2008 May;34(3):350-4. doi: 10.1016/j.burns.2007.05.005. Epub 2007 Sep 14.
BACKGROUND
The Meek technique of skin expansion is useful for covering a large open wound with a small piece of skin graft, but requires a carefully followed protocol.
METHODS
Over the past 5 years, a skin graft expansion technique following the Meek principle was used to treat 37 individuals who had sustained third degree burns involving more than 40% of the body surface. A scheme was devised whereby the body was divided into six areas, in order to clarify the optimal order of wound debridements and skin grafting procedures as well as the regimen of aftercare.
RESULTS
The mean body surface involvement was 72.9% and the mean area of third degree burns was 41%. The average number of operations required was 1.84. There were four deaths among in this group of patients.
CONCLUSIONS
The Meek technique of skin expansion and the suggested protocol are together efficient and effective in covering an open wound, particularly where there is a paucity of skin graft donor sites.
背景
Meek皮肤扩张技术有助于用一小片皮肤移植覆盖大面积开放性伤口，但需要严格遵循操作流程。
方法
在过去5年中，采用遵循Meek原则的皮肤移植扩张技术治疗了37例体表烧伤面积超过40%的三度烧伤患者。设计了一个方案，将身体分为六个区域，以明确伤口清创和皮肤移植手术的最佳顺序以及术后护理方案。
结果
平均体表烧伤面积为72.9%，三度烧伤平均面积为41%。所需平均手术次数为1.84次。该组患者中有4例死亡。
结论
Meek皮肤扩张技术及建议的操作流程在覆盖开放性伤口方面有效且高效，尤其是在皮肤移植供区不足的情况下。
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