Chen Tiannan, Lin Yuesen, Cui Chengshuo, Zhang Fangfang, Su Tingting, Guo Kaiyu, Hu Jialin
Department of Burn and Wound Repair, Yueqing City People's Hospital; Wenzhou Medical College Affiliated Yueqing Hospital, Wenzhou City, Zhejiang, 325600, People's Republic of China.
Clin Cosmet Investig Dermatol. 2022 May 31;15:1021-1027. doi: 10.2147/CCID.S358128. eCollection 2022.
To explore the clinical effect of wound edge microgranular skin grafting in the treatment of various small wounds.
From September 2018 to September 2021, Yueqing people's Hospital of Wenzhou City, Zhejiang Province collected and recorded the data of 12 patients with chronic wounds and third degree burns. The method of skin grafting with particles at the edge of the wound was used to graft skin on the wound. Scar evaluation scale was used to evaluate the wound. The patients were followed up for 12 months. The preoperative and postoperative data, scar index and patient satisfaction after healing were recorded and statistically analyzed.
All patients in this group were followed up for 3-12 months, and the results showed that SCAR Scale score decreased gradually over time, with patient satisfaction ranging from 80% to 96%. The patient gradually healed, scar hyperplasia gradually improved, functional activities gradually returned to normal, clinical effect is satisfactory.
Microparticle skin grafting at the edge of wound avoids skin grafting at different skin donor sites. It has the characteristics of simple anesthesia, small trauma and convenient operation. This method can be considered when treating patients with chronic wounds and burns who need skin grafting.
探讨创面边缘微粒植皮术治疗各类小创面的临床效果。
2018年9月至2021年9月，浙江省温州市乐清市人民医院收集并记录12例慢性创面及三度烧伤患者的数据。采用创面边缘微粒植皮法对创面进行植皮。采用瘢痕评估量表对创面进行评估。对患者进行12个月的随访。记录术前及术后数据、愈合后的瘢痕指数及患者满意度，并进行统计学分析。
该组所有患者均随访3至12个月，结果显示，瘢痕量表评分随时间逐渐降低，患者满意度为80%至96%。患者创面逐渐愈合，瘢痕增生逐渐改善，功能活动逐渐恢复正常，临床效果满意。
创面边缘微粒植皮避免了在不同皮肤供区取皮。具有麻醉简单、创伤小、操作方便的特点。对于需要植皮的慢性创面及烧伤患者，可考虑采用该方法。
