CAJ | 학술논문

目的探讨异体脱细胞真皮加自体刃厚皮多种复合方式移植修复深度烧伤创面的临床应用.方法对2003年以来我科用异体脱细胞真皮加自体刃厚皮多种复合方式移植修复63例深度烧伤创面的疗效观察.63例中,深Ⅱ度烧伤瘢痕37例,Ⅲ度烧伤功能部位创面26例,均为一次手术完成;其中49例为异体脱细胞真皮加大张刃厚皮移植,7例为异体脱细胞真皮加自体刃厚皮小皮片移植,7例为异体脱细胞真皮加网状皮片移植.结果 63例中术后复合皮全部成活,愈后植皮区及供皮区瘢痕增生不明显,功能恢复较好,色素沉着较轻,外观满意.结论异体脱细胞真皮加自体刃厚皮多种方式复合移植修复深度烧伤创面是一种较好治疗方法 .
목적 탐토이체탈세포진피가자체인후피다충복합방식이식수복심도소상창면적림상응용.방법 대2003년이래아과용이체탈세포진피가자체인후피다충복합방식이식수복63례심도소상창면적료효관찰.63례중,심Ⅱ도소상반흔37례,Ⅲ도소상공능부위창면26례,균위일차수술완성;기중49례위이체탈세포진피가대장인후피이식,7례위이체탈세포진피가자체인후피소피편이식,7례위이체탈세포진피가망상피편이식.결과 63례중술후복합피전부성활,유후식피구급공피구반흔증생불명현,공능회복교호,색소침착교경,외관만의.결론 이체탈세포진피가자체인후피다충방식복합이식수복심도소상창면시일충교호치료방법 .
Objective To approach the clinical applieation of burn wound with composite transplanta-tion of acellular dermal matrix with split-thickness autologous skin graft. Methods A clinical observation in 63 patients who had been treated by acellular allogenic dermis matrix with split-thickness autologous skin graft from 2003 in our division. In the peases, 37 cases are burn scars and 26 cases are function site full thickness skin burn wound. THe repair of wound by one time operation only.In this cases, acellular dermal matrix with split-thickness autologous skin grafting are 49, with snip skin grafting are 7, and with mesh skin grafting are 7.Results The composite skin survived after all in 63 examples.Skin grafting and donor site scars proliferation were not obvious after aeerte function rebound satisfaction pigmenatation appearaneed less.Patients feel satisfaction at appoaran ce. Con-clusion The repair of bum wound with cellular allogenic dermis with split-thickness autologous skin graft is a good treatment.