组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2008, Vol. 4 ›› Issue (6): 327-330.doi: 10.3969/j.issn.1673-0364.2008.06.008

• 论著 • 上一篇    下一篇

磨痂保留变性真皮自体皮片移植修复手深度烧伤的研究

蒋章佳，沈辉，涂红波，刘友红，刘题斌，蒋东霞，卢秋成，涂赤辉，周阳，苏怡湘，杨磊，王利   

  1. 南华大学附属浏阳医院（湖南省浏阳市人民医院）烧伤整形科;南华大学附属浏阳医院（湖南省浏阳市人民医院）手术室;南华大学附属浏阳医院（湖南省浏阳市人民医院）普外科;南华大学附属浏阳医院（湖南省浏阳市人民医院）病理科;
  • 发布日期:2020-07-23

Clinical Study of Dermabrasion in Repair of Deeply Burned Hands with the Preservation of Denatured Dermis and Auto-skin Grafting

JIANG Zhangjia,SHEN Hui,TU Hongbo,LIU Youhong,LIU Tibin,JING Dongxia,LU Qiucheng,TUChihui,ZHOU Yang,XU Yixiang,YANG Lei,WANG Li   

  1. Department of Burns and Plastic Surgery;Liuyang Hospital of Nanhua University;Liuyang People s Hospital;Liuyang 410300;China.;
  • Published:2020-07-23
  • Contact: 湖南省科学技术厅科技计划项目(2007SK3073)。

摘要： 目的探讨磨痂保留变性真皮自体皮片移植修复手深度烧伤的可行性。方法31名烧伤患者,双手为深Ⅱ、混合度(混合深Ⅱ度、Ⅲ度)烧伤。在同体中设立磨痂组(31只手),用自制的医用烧伤磨痂器磨痂保留变性真皮,移植自体薄中厚皮片;削痂组(31只手),上止血带,用辊轴刀削痂,移植自体中厚皮片。观察两组患者术中出血量、手术时间、皮片成活率、供皮区愈合情况、组织病理学、自制医用烧伤磨痂器的使用情况、外形与功能情况。结果磨痂组术中失血量与削痂组比较无差异性(P0.05);手术时间明显缩短(P

关键词: 烧伤, 手, 磨痂, 削痂, 变性真皮, 中厚皮片, 移植

Abstract: Objective To study on feasibility of dermabrasion in repair of deeply burned hands with the preservation of denatured dermis and auto-skin grafting. Methods 31 burn patients (62 hands) with deeply partial thickness and full thickness burn of hand. In dermabrasion group (31 hands), the wounds were treated by dermabrasion and grafted with auto intermediate-split-thickness graft with the preservation of denatured dermis by self-made abraded excision instrument. In tangentile excision group (31hands), under the...

Key words: Burn, Hand, Dermabrasion, Tangential excision, Denatured dermis, Split thick skin, Skin graft

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