Sabeh G, Sabé M, Ishak S, Sweid R
Service de Brûlologie, Hôpital de la Paix, Bahsas, Liban.
Laboratoire d'Ingénierie Cellulaire, Hôpital de la Paix, Bahsas, Liban.
Ann Burns Fire Disasters. 2018 Sep 30;31(3):213-222.
The goal of this study is to evaluate an alternative to tissue grafts and cutaneous substitutes. Five hundred and seventeen burn patients were treated between February 2012 and June 2016: 381 of them benefited from cell therapy. 1 to 4 cm2 of autologous healthy total skin graft was dissected into epidermis, dermis and hypodermis, and then separately transformed into three cell-rich suspensions: some of these suspensions were eclectically chosen and associated first with platelet-rich plasma and thereafter with cryoprecipitate of plasma. Also, sequential seedings were performed every 2 days. The day after seeding, irrigation with antioxidants, protectors and healing stimulants was carried out twice daily. Deep 2nd degree burns healed in 5 to 10 days, while for 3rd degree burns results were achieved in 20 days for small areas and 50 days, on average, for larger areas. This reproducible technique could find its place in the therapeutic arsenal against burns.
本研究的目的是评估组织移植和皮肤替代物的一种替代方法。2012年2月至2016年6月期间,对517名烧伤患者进行了治疗:其中381名患者受益于细胞疗法。将1至4平方厘米的自体健康全层皮肤移植片解剖成表皮、真皮和皮下组织,然后分别转化为三种富含细胞的悬液:从这些悬液中随机选取一些,先与富血小板血浆联合,随后再与血浆冷沉淀联合。此外,每2天进行一次序贯接种。接种后的第二天,每天用抗氧化剂、保护剂和愈合刺激剂冲洗两次。深二度烧伤在5至10天内愈合,而三度烧伤小面积在20天内取得效果,大面积平均在50天内取得效果。这种可重复的技术可在烧伤治疗手段中占有一席之地。