莫氏显微外科手术后延迟全层皮肤移植的成功情况。
Success of delayed full-thickness skin grafts after Mohs micrographic surgery.
作者信息
Thibault M J, Bennett R G
机构信息
Department of Medicine, University of California, Los Angeles, USA.
出版信息
J Am Acad Dermatol. 1995 Jun;32(6):1004-9. doi: 10.1016/0190-9622(95)91340-8.
BACKGROUND
Specific factors affect the outcome of full-thickness skin grafts after Mohs micrographic surgery. No recent clinical studies have systematically investigated the clinical factors that may affect the success of full-thickness skin grafts.
OBJECTIVE
Our objective was to analyze patient data to define factors that may influence the success of full-thickness skin grafts.
METHODS
We reviewed the clinical course of 117 patients who had full-thickness skin grafts after Mohs micrographic surgery. We analyzed these cases using patient variables, tumor variables, and skin graft variables and then correlated these variables to skin graft success.
RESULTS
Delay of skin graft placement (> 1 day) was significantly correlated with subsequent skin graft success (p = 0.015). Skin graft necrosis was more likely to develop in men than in women (p = 0.021).
CONCLUSION
A delay of 2 to 8 days between Mohs micrographic surgery and full-thickness skin graft placement resulted in a lower incidence of skin graft necrosis than no delay or a delay of 1 day.
背景
特定因素会影响莫氏显微外科手术后全厚皮片移植的结果。近期尚无临床研究系统地调查可能影响全厚皮片移植成功的临床因素。
目的
我们的目的是分析患者数据，以确定可能影响全厚皮片移植成功的因素。
方法
我们回顾了117例莫氏显微外科手术后接受全厚皮片移植患者的临床病程。我们使用患者变量、肿瘤变量和皮片变量对这些病例进行分析，然后将这些变量与皮片移植成功情况进行关联。
结果
皮片移植延迟（>1天）与随后的皮片移植成功显著相关（p = 0.015）。男性比女性更易发生皮片坏死（p = 0.021）。
结论
莫氏显微外科手术与全厚皮片移植之间延迟2至8天，比无延迟或延迟1天导致皮片坏死的发生率更低。
Zotero 插件