人工真皮在治疗皮肤撕脱伤的临床应用  

Exploration the Clinical Effect of Artificial Dermis in Treating Skin Avulsion Injury

作　　者：陈柏秋[1] 彭文要[1] 邱加崇[1] 余继超[1] 刘冰峰[1] 招伟峰[1] 

机构地区：[1]广东医学院附属厚街医院烧伤科,广东523945

出　　处：《中国伤残医学》2013年第9期20-21,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：探索人工真皮治疗皮肤撕脱伤的临床效果。方法：回顾性分析我院2008年1月～2013年1月48例皮肤撕脱伤的治疗方法。随机分成2组，对照组24例，予抗感染，改善微循环和换药治疗后，待创面有新鲜肉芽组织生长后行植皮或皮瓣修复术。观察组24例，予抗感染，改善微循环，早期清创、换药，创面有新鲜肉芽组织生长后，外敷人工真皮（皮耐克），创面有新鲜肉芽组织生长满意后行植皮术。结果：对照组平均住院天数38．2±1．3天。有11例由于面积较大，用刃厚皮或中厚皮修复的创面愈合后，疤痕增生明显。观察组平均住院天数28．4±1．1天，创面愈合，疤痕增生不明显或较轻。结论：应用人工真皮治疗皮肤撕脱伤能有效缩短住院天数，手术操作简单，减少手术风险承担，创面愈合，疤痕增生不明显或较轻。值得借鉴推广。Objective：To explore the clinical effect of artificial dennis in treating skin avulsion injury. Methods ：48 cases of the skin avulsion injury in our hospital from 2008 January to 2013 January was retrospective analysis, we can randomly divide them into 2 groups. 24 cases in the control group was treated with anti - infection, microcirculation improving, dressing treatment, and operating skin grafting or flap repairing when the fresh granulation tissue grew. The observation group included 24 cases, treated with anti - infection, microcirculation improving, early dehridement and dressing, after fresh granulation tissue grew, external application of artificial dennis （ skin Nike）, then induced dermal reconstruction, promoted fresh granulation tissue growth, and operated skin grafting when the granulation tissue growing satisfactorily. Results：The average hospitalization days of the control group was 38.2 ± 1.3 days. Due to the burn area is larger; the scar hyperplasia of 11 cases among the control group was obvious after the wound was repaired by split -thickness skin or mid - thickness skin. In observation group, the average hospital stay 28.4 ± 1.1 days, the scar hyperplasia was not obvious or lighter after the wound was healed. Conclusion：The application of artificial dermis in treatment of skin avulsion injury can effectively shorten the days of hospitalization, reduce the operation risk, promote wound healing, plus the simple operation process and no obvious scar hyperplasia or lighter, it is truly worth further popularization and application in clinic.

关 键 词：人工真皮(皮耐克) 皮肤撕脱伤 

分 类 号：R622.1[医药卫生—整形外科]