三度烧伤创面削痂植皮的疗效观察  

The Effect of Tangential Excision of Eschar and Skin Grafting in The Full Thickness Burn

作　　者：毛远桂[1] 方方[1] 刘德伍[1] 张志安[1] 肖长辉[1] 郭光华[1] 李国辉[1] 

机构地区：[1]南昌大学第一附属医院烧伤科,江西南昌330006

出　　处：《江西医学院学报》2006年第1期84-85,88,共3页Acta Academiae Medicinae Jiangxi

摘　　要：目的 探讨削痴植皮术在三度烧伤创面早期祛痂手术中的应用。方法 选择1997-2004年肢体三度烧伤患者157例作为A组，1991～1996年肢体三度烧伤患者80例作为B组，排外电烧伤、热挤压伤等深三度烧伤。A组行削痂植皮术，B组行切痂植皮术，观察两组手术时问、植皮成活率、创面愈合时间、以及创面愈合后肢体外形、对称性和功能的恢复。结果A组创面愈合后肢体外观、对称性和功能较好，自身对照上下肢分别缩小5．7％和5．8％，差异无显著性；B组创面愈合后肢体明显缩小、左右明显不对称、功能较差，上下肢分别缩小21．6％和25．1％，差异具有显著性意义（P〉0．05）。而两组手术时间、植皮成活率、创面愈合时间比较差异无显著性。结论 三度烧伤创面采用削痂植皮术治疗能更好地维护肢体的美观、保护肢体的功能。Objective To explore the application of tangential excision of eschar and self-skin grafting in the full thickness burn. Methods Except electric burn and hot extrusion injury, 157 patients from 1997 to 2004 year and 40 patients from 1991 to 1996 with full thickness limbs burn in our department were selected as group A and B respectively. Group A underwent tangential excision of eschar and skin grafting, while Group B did eschar excision and skin grafting, the operation opportunity,the survival rate of grafted skin,the time of wound healing,and the profile,the symmetry,the recovery of function of the limbs were observed. Results The profile,the symmetry, the founction of the limbs of Group A were obviously better than that in Group B;the upper limb and lower limb deflate 5.7% and 5.8% of own control of Group A, the difference was not distinguished. However Group B was of contrast, the numbers were 21.6% and 25.1% and the difference was distinguished（P〉0.05）. The differences of the operation opportunity, the survival rate of grafted skin, the time of wound healing of two groups were not noticeable. Conclusion The application of tangential excision of eschar and skin grafting in the full thickness burn can be better service the beautiful outlook and protect the function of limbs.

关 键 词：三度烧伤 削痂 自体皮移植 

分 类 号：R644[医药卫生—外科学]