CAJ | 학술논문

目的探讨磨痂保留变性真皮刃厚皮片移植修复深Ⅱ度烧伤创面的疗效.方法选取采用磨痂保留变性真皮移植自体大张刃厚皮片治疗的20例(33处手背、前臂深Ⅱ度)烧伤创面,术后随访3~12个月,观察皮片成活情况、创面愈合后局部外观和活动功能.结果20例(33处皮片)中1例(1处)约3cm×5cm大小皮片坏死,其余皮片全部成活.移植皮片轻度色素沉着,无挛缩起“鸡皮疙瘩”现象,无皮脂腺囊肿及“二层皮”形成,外形满意.局部无瘢痕增生,皮肤有弹性,质地柔软,手活动功能良好,优良率91.3%.结论磨痂保留变性真皮移植自体大张刃厚皮片是治疗深Ⅱ度烧伤创面的微创手术方式,值得推广应用.
목적탐토마가보류변성진피인후피편이식수복심Ⅱ도소상창면적료효.방법선취채용마가보류변성진피이식자체대장인후피편치료적20례(33처수배、전비심Ⅱ도)소상창면,술후수방3~12개월,관찰피편성활정황、창면유합후국부외관화활동공능.결과20례(33처피편)중1례(1처)약3cm×5cm대소피편배사,기여피편전부성활.이식피편경도색소침착,무련축기“계피흘탑”현상,무피지선낭종급“이층피”형성,외형만의.국부무반흔증생,피부유탄성,질지유연,수활동공능량호,우량솔91.3%.결론마가보류변성진피이식자체대장인후피편시치료심Ⅱ도소상창면적미창수술방식,치득추엄응용.
Objective To assess the feasibility of abrading treatment of retained denatured dermis and autologous ra-zor-thin skin grafting for deep second-degree burns wound. Methods The abrading of retained denatured dermis and autolo-gous grafting of large sheet razor-thin skin was performed on 33 burns in 20 patients with deep second-degree burns on hand or forearm. The survival, appearance and function of grafted skin were observed after wound healed. Results Al grafted skins survived, except 1/10 of grafted skin in one case was necrotic. And after 3 to 12 months of fol ow-up, the grafted skins were e-lastic and flexible with a bit of pigmentation;there were no"goose bump", sebaceous cyst, hyperplastic scar or"two skins"formed. The skin-grafted hands functioned wel . The overal rate of perfectness reached 91.3%after operation. Conclusion The abrad-ing treatment of retained denatured dermis and autologous razor-thin skin grafting is a feasible minimal y invasive surgery for treatment of deep second-degree burns.