CAJ | 학술논문

目的探讨保留部分脂肪组织切除坏死皮肤延期植皮治疗深度烧伤的方法及临床意义.方法2011年9月~2012年6月,收治17例深度烧伤患者.其中男10例,女7例.采用同体配对设计,各例患者烧伤创面依据创面深度及面积分为坏死皮肤切除区与坏死皮肤保留区,采用引流坏死组织保留部分脂肪组织延期植皮方法与传统保痂延期扩创手术植皮方法治疗,观察比较两组创面植皮术前等待时间、创面愈合时间.结果切除坏死皮肤创面组与保留坏死皮肤创面组植皮术前等待时间分别为(6.88±1.41)d和(19.65±2.80) d,创面愈合时间分别为(20.24±3.29)d和(35.71±2.93)d,差异有统计学意义.结论切除坏死皮肤保留创面部分脂肪组织有利于深度烧伤创面愈合.
목적탐토보류부분지방조직절제배사피부연기식피치료심도소상적방법급림상의의.방법2011년9월~2012년6월,수치17례심도소상환자.기중남10례,녀7례.채용동체배대설계,각례환자소상창면의거창면심도급면적분위배사피부절제구여배사피부보류구,채용인류배사조직보류부분지방조직연기식피방법여전통보가연기확창수술식피방법치료,관찰비교량조창면식피술전등대시간、창면유합시간.결과절제배사피부창면조여보류배사피부창면조식피술전등대시간분별위(6.88±1.41)d화(19.65±2.80) d,창면유합시간분별위(20.24±3.29)d화(35.71±2.93)d,차이유통계학의의.결론절제배사피부보류창면부분지방조직유리우심도소상창면유합.
Objective: To evaluate the effects of removing necrotic skin and preserving partial adipose tissue , delayed skin grafting in treatment of deep burn. Methods: From September 2011 to June 2012,17 cases (10 males and 7 females) of deep skin burn were designed by autogenous contrast matched survey. The wounds of every case were divided into areas of removing necrotic skin and areas of preserving necrotic skin based on depth and area of wounds. The areas of removing necrotic skin were treated by draining necrotic tissue and preserving adipose tissue, correspondingly, the areas of preserving necrotic skin were treated by traditional delayed wound debridement. Then, the waiting time before grafting skin and wound healing time of two groups were compared. Results: The waiting time before grafting skin were (6.88±1.41) days and(19.65±2.80)days; the wound healing time of two groups were (20.24±3.29)days and(35.71±2.93)days. There was difference between two groups in the waiting time and the wound healing time. Conclusions: The results suggest that the method of removing necrotic skin and preserving partial adipose tissue is conducive to wound healing in deep burn.