重复取皮技术在儿童大面积皮肤剥脱伤治疗中的应用  

Thin split thickness skin grafting double taken from avulsed skin in treatment for skin avulsion in children

作　　者：俞志涛[1] 范源[1] 王玉琨[1] 王承武[1] 孟淑琴[1] 席越[1] 

机构地区：[1]北京积水潭医院小儿骨科

出　　处：《中华外科杂志》1997年第4期242-243,共2页Chinese Journal of Surgery

摘　　要：为了减少再取皮，提高剥脱皮肤利用率，作者对２３例大面积皮肤剥脱伤的患者，采用表皮层及带有部分表皮层的真皮层双层反取皮后重新植于创面，并对带有部分表皮层的真皮层进行观察。结果显示：带有部分表皮层的真皮层与表皮层成活后无差异，仅是带有部分表皮层的真皮层成活时间稍长。作者认为，这样可成倍使用可利用的剥脱皮，从而免除取健侧肢体皮肤及由此带来的不美观。随访效果满意。In order to utilize avulsed skin to cover skin defects,a new skin grafting technique, thin split thickness skin grafting double taken from avulsed skin, was used in 23 cases of severe skin avulsion. The skin grafts in profound layer were observed histologically. The results showed no difference between skin grafts in superficial layer and ones in profound layer, but the latter needed longer time to heal. Using this technique,we can obtain skin graft in double amount from avulsed skin.

关 键 词：皮肤剥脱伤 皮肤移植 重复取皮 

分 类 号：R622.1[医药卫生—整形外科]