CAJ | 학술논문

目的：探讨肉芽创面上直接自体微粒皮移植术封闭深度烧伤创面的可行性。方法：对深度烧伤患者22例，创面坏死组织薄化处理后，形成鲜红色的肉芽创面，将自体微粒皮直接移植于肉芽创面并用保湿敷料覆盖。术后随访6个月至3年，观察治疗效果。结果：18例患者植皮后3～6周全部愈合，4例植皮后未能全部封闭创面，用同样方法行二次植皮封闭创面。术后随访患者6个月至3年，外观效果令人满意，无严重瘢痕挛缩。结论：深度烧伤肉芽创面上可以直接行自体微粒皮移植，而且非常容易成活，瘢痕增生不明显。
목적：탐토육아창면상직접자체미립피이식술봉폐심도소상창면적가행성。방법：대심도소상환자22례，창면배사조직박화처리후，형성선홍색적육아창면，장자체미립피직접이식우육아창면병용보습부료복개。술후수방6개월지3년，관찰치료효과。결과：18례환자식피후3～6주전부유합，4례식피후미능전부봉폐창면，용동양방법행이차식피봉폐창면。술후수방환자6개월지3년，외관효과령인만의，무엄중반흔련축。결론：심도소상육아창면상가이직접행자체미립피이식，이차비상용역성활，반흔증생불명현。
Objective :To explore the feasibility of granulation wound directly auto microskin grafting op-eration new method of closing of deep burn wounds .Methods :Auto microskin transplanted directly into deep burn granulation product and moisturizing dressing .22 cases of burn patients treated by this method ,and were followed up for 6 months to 3 years ,the healing effect especially the scar formation was observed .Results:After microskin grafting ,the wounds of 18 patients healed completely within 3 to 6 weeks .Part of the wounds in 4 patients had mi-croskin graft failure ,but healed after the second microskin grafting .All patients were followed for 6 months to 3 years ,and the appearance and the function of the skin after the microskin grafting were satisfactory and no obvious hypertrophic scar was observed .Conclusion:Deep burn granulation wound can be directly treated with autologous microskin grafting ,and very easy to survive ,no obvious scar hyperplasia .