Department of Surgery, Wake Forest University School of Medicine, Winston-Salem, NC, United States.
Department of Surgery, University of Colorado Hospital Burn Center, Denver, CO, United States.
Burns. 2019 Dec;45(8):1749-1758. doi: 10.1016/j.burns.2019.07.021. Epub 2019 Aug 13.
This open-label, controlled, randomized study assessed the safety, tolerability, and efficacy of StrataGraft tissue compared to autograft in the treatment of deep partial-thickness (DPT) burns.
Thirty subjects with DPT thermal burns (3%-43% total body surface area) were treated with StrataGraft tissue as follows: cohort 1, ≤220 cm refrigerated tissue; cohort 2, ≤440 cm refrigerated tissue; and cohort 3, ≤440 cm cryopreserved tissue. On each subject, two comparable areas of DPT burn were randomized to receive StrataGraft tissue or autograft. Coprimary end points were the percent area of the StrataGraft tissue treatment site undergoing salvage autografting by Day 28 and wound closure of treatment sites by 3 months.
By Day 28, no StrataGraft tissue treatment sites underwent autografting. By 3 months, 93% and 100% of the StrataGraft tissue and autograft treatment sites achieved complete wound closure, respectively. No significant differences in observer total and overall opinion POSAS scores between StrataGraft tissue and autograft treatment sites were observed at any timepoint. The most common adverse event was pruritus (17%).
StrataGraft tissue treatment of DPT thermal burns reduced the need for autograft, resulted in wound closure and treatment-site cosmesis comparable to that of autograft, and was well tolerated.
本开放性、对照、随机研究评估了 Stratagraft 组织相较于自体移植物在治疗深度部分厚度(DPT)烧伤中的安全性、耐受性和疗效。
30 名 DPT 热烧伤(3%-43%的总体表面积)患者接受 Stratagraft 组织治疗如下:队列 1,≤220cm 冷藏组织;队列 2,≤440cm 冷藏组织;队列 3,≤440cm 冷冻保存组织。每位患者的两个相似 DPT 烧伤区域随机接受 Stratagraft 组织或自体移植物治疗。主要终点为第 28 天 Stratagraft 组织治疗部位接受挽救性自体移植物的面积百分比和 3 个月时治疗部位的伤口闭合。
第 28 天,没有 Stratagraft 组织治疗部位接受自体移植物。3 个月时,Stratagraft 组织和自体移植物治疗部位的完全伤口闭合率分别为 93%和 100%。在任何时间点,Stratagraft 组织和自体移植物治疗部位的观察者总评分和总体意见 POSAS 评分均无显著差异。最常见的不良事件是瘙痒(17%)。
Stratagraft 组织治疗 DPT 热烧伤减少了自体移植物的需求,导致伤口闭合和治疗部位美容效果与自体移植物相当,且耐受性良好。