Rissin Yaron, Fodor Lucian, Talmon Gil, Fishelson Ohad, Ullmann Yehuda
Department of Plastic and Reconstructive Surgery, Rambam Health Care Campus and Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Burns. 2009 Aug;35(5):681-6. doi: 10.1016/j.burns.2008.09.016. Epub 2009 Feb 10.
Microskin graft technique is a possible solution for treating major burns. The goal of this study was to investigate microskin graft techniques using a new model of grafting human skin onto athymic nude mice.
Twenty female nude mice were randomly divided into a research group and a control group (14 mice in the research group, six in the control group). On the 11th day after the procedure, the following parameters were investigated: percentage of epithelial coverage, degree of contracture, thickness of the epidermis, thickness of the dermis, number of blood vessels, number of melanocytes.
The healing rate (epithelial coverage) of the wounds was an average of 100% (+/-0%) in the control group and 97% (+/-5%) in the research group (P>0.05). The average degree of wound contraction in the control group was 30% compared to 63% in the research group (P<0.01). The average thickness of the epidermis formed at the grafted site was 8.17 (+/-1.94)microm in the control group compared to 4.45 (+/-4.17)microm in the research group, at the wound margins (P>0.05).
We found that the microskin graft, created by grinding a sheet of human skin, remained vital, and tissue of human origin was present at the grafted site. Our study shows that this novel method is feasible and has the advantage of enabling investigation of human skin on an animal model. Significant contracture appears to be a drawback of this technique, and we feel that the method should be improved before its clinical application on patients.
微粒皮移植技术是治疗大面积烧伤的一种可能解决方案。本研究的目的是利用将人皮肤移植到无胸腺裸鼠的新模型来研究微粒皮移植技术。
20只雌性裸鼠随机分为研究组和对照组(研究组14只,对照组6只)。在手术第11天后,研究以下参数:上皮覆盖百分比、挛缩程度、表皮厚度、真皮厚度、血管数量、黑素细胞数量。
对照组伤口愈合率(上皮覆盖)平均为100%(±0%),研究组为97%(±5%)(P>0.05)。对照组伤口平均挛缩程度为30%,而研究组为63%(P<0.01)。对照组移植部位形成的表皮平均厚度为8.17(±1.94)微米,研究组伤口边缘为4.45(±4.17)微米(P>0.05)。
我们发现,通过研磨一片人皮肤制成的微粒皮仍然存活,移植部位存在人源性组织。我们的研究表明,这种新方法是可行的,并且具有能够在动物模型上研究人皮肤的优势。明显的挛缩似乎是该技术的一个缺点,我们认为在将该方法应用于临床患者之前应加以改进。