Guibert M, Chaouat M, Boccara D, Marco O, Lavocat R, Alameri O, Deslandes E, Montlahuc C, Mimoun M
Hôpital Saint-Louis, Service de chirurgie plastique, reconstructrice et esthétique, centre de traitement des brûlés, Paris, France.
Hôpital Saint-Louis, Service de biostatistiques, Paris, France.
Ann Burns Fire Disasters. 2016 Jun 30;29(2):130-134.
Split-thickness meshed skin graft is frequently used in the treatment of acute burns. We studied the effect of the type of basement preparation on graft intake and healing time. We retrospectively analysed 1,129 meshed grafts used in the treatment of acute burns between 1995 and 2005. Intake was significantly better after avulsion (82%) than after tangential excision (75%). Intake was better if avulsion was performed before day 7 (83% vs. 73%). A trend for better intake after tangential excision was seen when performed between day 7 and 21. Healing time was significantly shorter after tangential excision. These results show the paradox that avulsion favours graft intake but delays healing time, contrary to tangential excision.
分层筛状皮片移植常用于急性烧伤的治疗。我们研究了基底准备类型对植皮成活率和愈合时间的影响。我们回顾性分析了1995年至2005年间用于治疗急性烧伤的1129例筛状皮片移植病例。撕脱术后的植皮成活率（82%）显著高于削痂术后（75%）。如果在第7天之前进行撕脱，植皮成活率更高（83%对73%）。在第7天至第21天之间进行削痂时，有植皮成活率更高的趋势。削痂术后的愈合时间明显更短。这些结果显示出一种矛盾现象，即与削痂术相反，撕脱术有利于植皮成活，但会延迟愈合时间。
