Zhang M L, Chang Z D, Wang C Y, Fang C H
Department of Burns, Beijing Jishuitan Hospital, China.
J Trauma. 1988 Jun;28(6):804-7.
Microskin grafting has proved to be an effective new procedure for the treatment of extensive burns, in which only a minimum amount of autogenous skin is needed for coverage of a large full-thickness burn wound. The technique has been improved and applied in 17 major burn patients. All patients survived. The wound covered with microskin grafts ranged from 6% to 45% TBSA, with a mean area of 24.1% TBSA. The expansion ratio of micrografts in this series reached up to 1:18, and can be greater. The wound healing was accomplished in three ways. 1) Wounds were completely resurfaced by micrografts in 24 limbs (58.5%). 2) Wounds were not totally healed with micrografts by the time the homograft was rejected, leaving only small raw areas which needed re-grafting in 12 limbs (29.3%). 3) The micrografts did not take on four limbs and one chest wall (12.2%). The improved technique, which has become more simple and feasible, is discussed in detail.
微粒皮移植已被证明是治疗大面积烧伤的一种有效的新方法，对于大面积全层烧伤创面的覆盖，仅需少量自体皮肤。该技术已得到改进并应用于17例重度烧伤患者。所有患者均存活。微粒皮移植覆盖的创面面积占总体表面积（TBSA）的6%至45%，平均面积为24.1%TBSA。本系列中微粒皮的扩增比例高达1:18，且可能更高。创面通过三种方式愈合。1）24条肢体（58.5%）的创面完全被微粒皮覆盖。2）在同种异体皮被排斥时，微粒皮未能完全愈合创面，12条肢体（29.3%）仅留下小面积的创面需要再次移植。3）4条肢体和1个胸壁（12.2%）的微粒皮未存活。本文详细讨论了已变得更加简单可行的改良技术。
