Smirnov S V, Loginov A P, Shakhlamov M V
Khirurgiia (Mosk). 1998(9):11-3.
The article reviews the history of development of free-flap skin transplantation and basic role of acad. B.A. Petrov who was the first to show the role of dermatom skin transplantation in vast granulating wounds as the only method saving the life of patients with severe burns. He also suggested to solve an actual problem--deficiency of resources of donor skin--by repeated excision of skin flaps from previously used donor sites and use of cadaver skin. Very important is ales the role of B.A. Petrov in development of such particular questions as the role of patient's condition, wound bed am microbial flora of the wound in survival of skin transplants. In aspect of historical relationships the perspective of new approach to treatment of deep burns by transplantation of ceratinocytes, cultivated outside the patient's organism is shown.
本文回顾了游离皮瓣移植的发展历程以及B.A. 彼得罗夫院士的基础作用，他率先证明了在大面积肉芽创面进行断层皮片移植是挽救重度烧伤患者生命的唯一方法。他还建议通过从先前使用过的供皮区反复切除皮瓣并使用尸体皮肤来解决供皮资源短缺这一实际问题。B.A. 彼得罗夫在诸如患者状况、创面床以及创面微生物群在皮肤移植存活中的作用等特定问题的发展中所起的作用也非常重要。从历史关联的角度展示了通过移植在患者体外培养的角质形成细胞来治疗深度烧伤的新方法的前景。
