McAree K G, Klein R L, Boeckman C R
Department of Surgery, Akron General Medical Center, OH.
J Pediatr Surg. 1993 Feb;28(2):166-8. doi: 10.1016/s0022-3468(05)80266-0.
Commercially prepared cultured epithelial autografts permit closure of deep burn wounds when insufficient uninjured skin is available for split-thickness grafting. This technique was used in seven patients with a mean total body surface area (TBSA) burn of 66% and full-thickness burn of 52%. All patients survived with a mean initial take of 69% and final take of 80% for the cultured epithelial autografts. Patients with a TBSA burn greater than 80% required at least a second application of the grafts. We feel our approach to wound preparation and postoperative wound care has contributed to our success with this technique.
当没有足够的未受伤皮肤用于断层皮片移植时,商业制备的培养上皮自体移植片可用于闭合深度烧伤创面。该技术应用于7例患者,平均烧伤总面积(TBSA)为66%,全层烧伤面积为52%。所有患者均存活,培养上皮自体移植片的平均初始成活率为69%,最终成活率为80%。烧伤总面积大于80%的患者至少需要再次移植。我们认为,我们的创面准备和术后创面护理方法有助于这项技术取得成功。