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同种异体皮在烧伤治疗中的临床应用。

Clinical Applications of Allograft Skin in Burn Care.

机构信息

From the Joseph M. Still Burn and Reconstruction Center, Jackson, MS.

出版信息

Ann Plast Surg. 2020 Mar;84(3S Suppl 2):S158-S160. doi: 10.1097/SAP.0000000000002282.

Abstract

Allograft skin has been widely used for wound management in burn centers. Functional as biologic dressing, it can not only provide ideal temporary wound coverage in extensive burns when autograft is not immediately available but also prepare the wound bed for definitive autografting. In this article, the up-to-date clinical application of allograft in burn care was reviewed, including coverage of extensive burn wounds, combined use with meshed autograft, template for delayed application of cultured epidermal autografts, and the use of human acellular dermal matrix. Although it has potential disadvantages of rejection and disease transmission, allograft skin remains a workhorse in treatment of severe burn wounds.

摘要

同种异体皮在烧伤中心被广泛用于创面管理。同种异体皮作为生物敷料,不仅可以在自体皮供区不足时为大面积烧伤提供理想的临时创面覆盖,还可以为确定性自体皮移植做好创面准备。本文回顾了同种异体皮在烧伤治疗中的最新临床应用,包括覆盖大面积烧伤创面、与网孔自体皮联合应用、延迟应用培养的表皮自体移植模板,以及使用人脱细胞真皮基质。尽管同种异体皮存在排斥和疾病传播的潜在风险,但它仍然是治疗严重烧伤创面的主要手段。

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