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用于下肢中厚皮片供皮区的膀胱基质

Urinary bladder matrix for lower extremity split-thickness skin graft donor site.

作者信息

Bormann Sydney, Lawrence Zachary, Karu Heather

机构信息

University of South Dakota Sanford School of Medicine, 1400 W 22nd St, Sioux Falls, SD 57105, United States.

Department of Surgery, University of South Dakota Sanford School of Medicine, 1400 W 22nd St, Sioux Falls, SD 57105, United States.

出版信息

J Surg Case Rep. 2023 Sep 24;2023(9):rjad529. doi: 10.1093/jscr/rjad529. eCollection 2023 Sep.

DOI:10.1093/jscr/rjad529
PMID:37771879
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10532191/
Abstract

Split-thickness skin grafts (STSG) are commonly used to treat soft-tissue defects. Harvesting a STSG creates an additional partial thickness wound at the donor site which must be managed. Many dressings are commercially available for the management of STSG donor sites; however, there is no evidence-based consensus on optimal dressing for site management. Urinary bladder matrix (UBM) is an extracellular matrix that acts as a structural support for tissue remodeling and provides molecular components for repair. Common clinical applications of UBM include coverage of deep wounds, burns, and irradiated skin. Skin grafting from the lower extremities poses a challenge due to the increased dermal tension. UBM-based reconstruction is an alternative method of managing lower extremity skin graft donor sites. This case study demonstrates the use of UBM in the reconstruction of a STSG donor site of the anterolateral thigh, which resulted in satisfactory healing, no pain, and excellent cosmetic and functional outcomes.

摘要

分层皮片移植（STSG）常用于治疗软组织缺损。采集分层皮片会在供皮区造成一个额外的部分厚度伤口，必须对其进行处理。市面上有许多敷料可用于分层皮片供皮区的处理；然而，对于供皮区处理的最佳敷料，尚无基于证据的共识。膀胱基质（UBM）是一种细胞外基质，可作为组织重塑的结构支撑，并为修复提供分子成分。UBM的常见临床应用包括覆盖深度伤口、烧伤和受辐射皮肤。由于皮肤张力增加，下肢取皮存在挑战。基于UBM的重建是处理下肢皮肤移植供皮区的一种替代方法。本病例研究展示了UBM在大腿前外侧分层皮片供皮区重建中的应用，其结果是愈合良好、无疼痛，且美容和功能效果极佳。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7f9/10532191/78a49e09e013/rjad529f8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7f9/10532191/1d6f6e8b4ecd/rjad529f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7f9/10532191/b464a45ca2d8/rjad529f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7f9/10532191/6de50cad7937/rjad529f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7f9/10532191/c0d3228b0382/rjad529f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7f9/10532191/46458e654d18/rjad529f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7f9/10532191/2c1e663b36f6/rjad529f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7f9/10532191/6aa2b86a5386/rjad529f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7f9/10532191/78a49e09e013/rjad529f8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7f9/10532191/1d6f6e8b4ecd/rjad529f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7f9/10532191/b464a45ca2d8/rjad529f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7f9/10532191/6de50cad7937/rjad529f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7f9/10532191/c0d3228b0382/rjad529f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7f9/10532191/46458e654d18/rjad529f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7f9/10532191/2c1e663b36f6/rjad529f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7f9/10532191/6aa2b86a5386/rjad529f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7f9/10532191/78a49e09e013/rjad529f8.jpg

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本文引用的文献

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Ann Plast Surg. 2022 May 1;88(5):566-573. doi: 10.1097/SAP.0000000000003202.
2
Urinary Bladder Matrix Grafting: A Simple and Effective Alternative to Flap Coverage for Wounds in High-Risk Orthopaedic Trauma Patients.膀胱基质移植：高危骨科创伤患者伤口皮瓣覆盖的一种简单有效的替代方法。
J Orthop Trauma. 2022 Apr 1;36(4):e152-e157. doi: 10.1097/BOT.0000000000002245.
3
Donor Site Wound Healing in Radial Forearm Flap: A Comparative Study Between Dermal Substitute and Split-Thickness Skin Graft Versus Full-Thickness Skin Graft Primary Coverage.
桡侧前臂皮瓣供区伤口愈合：真皮替代物与中厚皮片及全厚皮片一期覆盖的比较研究
Ann Plast Surg. 2021 Jun 1;86(6):655-660. doi: 10.1097/SAP.0000000000002777.
4
Treatment with a Urinary Bladder Matrix Alters the Innate Host Response to Pneumonia Induced by .用膀胱基质进行治疗会改变宿主对由……诱导的肺炎的固有反应。
ACS Biomater Sci Eng. 2021 Mar 8;7(3):1088-1099. doi: 10.1021/acsbiomaterials.0c01090. Epub 2021 Feb 2.
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Porcine Urinary Bladder Extracellular Matrix for Treatment of Periocular Skin Defects.猪膀胱细胞外基质治疗眼周皮肤缺损。
Ophthalmic Plast Reconstr Surg. 2021;37(3S):S6-S10. doi: 10.1097/IOP.0000000000001738.
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An evidence-based review of split-thickness skin graft donor site dressings.分层皮片供皮区敷料的循证评价
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