CAJ | 학술논문

目的观察定形次全厚皮片移植技术修复创面的临床效果。方法2004年8月～2012年6月，采用定形次全厚皮片移植术，修复45例整形或烧伤病人需植皮修复者，瘢痕切除后植皮者24例，其中手部9例，面部6例，足部4例，腘窝3例，颈部2例；烧伤后植皮者21例，其中手部13例，面部4例，足部1例，颈部3例。移植皮片面积最大22cm ×15cm，最小4cm ×6cm。结果45例定形皮片中除3例有小面积皮片下血肿（经换药愈合2例，再次小范围植皮修复1例），其余均成活理想。术后6～12个月随访，各修复部位皮片缝合处瘢痕不明显，表面平坦，无明显的外表畸形，弹性良好，质地柔软。42例定形皮片色泽接近正常皮肤，3例定形皮片有不同程度色素沉着。功能恢复满意。结论定形次全厚皮片移植术是一种外观和功能均获得满意效果的创面修复方法，供区部位及大小不受限制。
목적관찰정형차전후피편이식기술수복창면적림상효과。방법2004년8월～2012년6월，채용정형차전후피편이식술，수복45례정형혹소상병인수식피수복자，반흔절제후식피자24례，기중수부9례，면부6례，족부4례，객와3례，경부2례；소상후식피자21례，기중수부13례，면부4례，족부1례，경부3례。이식피편면적최대22cm ×15cm，최소4cm ×6cm。결과45례정형피편중제3례유소면적피편하혈종（경환약유합2례，재차소범위식피수복1례），기여균성활이상。술후6～12개월수방，각수복부위피편봉합처반흔불명현，표면평탄，무명현적외표기형，탄성량호，질지유연。42례정형피편색택접근정상피부，3례정형피편유불동정도색소침착。공능회복만의。결론정형차전후피편이식술시일충외관화공능균획득만의효과적창면수복방법，공구부위급대소불수한제。
Objective To observe the wound repair effect of shaped sub-full thickness skin grafting tech-nology in wound repair .Methods From Aug.2004 to Jun.2012,45 patients received skin grafting using shaped sub-full thickness skin.There were 32 males and 13 females,aged from 1 to 54 years (mean,32.5 years).Among the patients,24 patients received skin grafting following scar excision ,including 9 cases in hand,6 cases in face,4 cases in foot ,and 3 cases in popliteal region ,and 2 cases in cervical region;21 patients received skin grafting follow-ing burn injury,including 13 cases in hand,4 cases in face,1 case in foot,and 3 cases in cervical region .The skin grafting size ranged from 4cm ×6cm to 22cm ×15cm.Results Small hematoma was observed under the grafted skin in 3 patients,among whom,2 cases healed naturally after dressing change ,1 case underwent a second grafting in small range.The other 42 skin grafts were completely survived .After half a year to 1 year of follow-up,the appear-ance and function of these repaired skin gained ideal effects except varying degree of amorphous pigmentation in 3 cases.Conclusion The shaped sub-full thickness skin graft is an ideal technique to gain aesthetic repair of wounds.