CAJ | 학술논문

目的：探索人工真皮治疗皮肤撕脱伤的临床效果。方法：回顾性分析我院2008年1月～2013年1月48例皮肤撕脱伤的治疗方法。随机分成2组，对照组24例，予抗感染，改善微循环和换药治疗后，待创面有新鲜肉芽组织生长后行植皮或皮瓣修复术。观察组24例，予抗感染，改善微循环，早期清创、换药，创面有新鲜肉芽组织生长后，外敷人工真皮（皮耐克），创面有新鲜肉芽组织生长满意后行植皮术。结果：对照组平均住院天数38．2±1．3天，有11例由于面积较大，用刃厚皮或中厚皮修复的创面愈合后，疤痕增生明显。观察组平均住院天数28．4±1．1天，创面愈合，疤痕增生不明显或较轻。结论：应用人工真皮治疗皮肤撕脱伤能有效缩短住院天数，手术操作简单，减少手术风险承担，创面愈合，疤痕增生不明显或较轻。值得借鉴推广。
목적：탐색인공진피치료피부시탈상적림상효과。방법：회고성분석아원2008년1월～2013년1월48례피부시탈상적치료방법。수궤분성2조，대조조24례，여항감염，개선미순배화환약치료후，대창면유신선육아조직생장후행식피혹피판수복술。관찰조24례，여항감염，개선미순배，조기청창、환약，창면유신선육아조직생장후，외부인공진피（피내극），창면유신선육아조직생장만의후행식피술。결과：대조조평균주원천수38．2±1．3천，유11례유우면적교대，용인후피혹중후피수복적창면유합후，파흔증생명현。관찰조평균주원천수28．4±1．1천，창면유합，파흔증생불명현혹교경。결론：응용인공진피치료피부시탈상능유효축단주원천수，수술조작간단，감소수술풍험승담，창면유합，파흔증생불명현혹교경。치득차감추엄。
Objective:To explore the clinical effect of artificial dermis in treating skin avulsion injury .Methods:48 cases of the skin avulsion injury in our hospital from 2008 January to 2013 January was retrospective analysis , we can randomly divide them into 2 groups . 24 cases in the control group was treated with anti -infection, microcirculation improving, dressing treatment, and operating skin graft-ing or flap repairing when the fresh granulation tissue grew .The observation group included 24 cases, treated with anti -infection, mi-crocirculation improving , early debridement and dressing , after fresh granulation tissue grew , external application of artificial dermis (skin Nike), then induced dermal reconstruction, promoted fresh granulation tissue growth, and operated skin grafting when the granula-tion tissue growing satisfactorily .Results:The average hospitalization days of the control group was 38.2 ±1.3 days.Due to the burn area is larger;the scar hyperplasia of 11 cases among the control group was obvious after the wound was repaired by split -thickness skin or mid-thickness skin.In observation group, the average hospital stay 28.4 ±1.1 days, the scar hyperplasia was not obvious or lighter after the wound was healed .Conclusion:The application of artificial dermis in treatment of skin avulsion injury can effectively shorten the days of hospitalization , reduce the operation risk , promote wound healing , plus the simple operation process and no obvious scar hyper-plasia or lighter , it is truly worth further popularization and application in clinic .