大面积烧伤的微皮移植术  

Microskin grafting in recent 15 years

作　　者：张明良[1] 周光峰[1] 张普柱[1] 徐军[1] 张国安[1] 陈旭[1] 

机构地区：[1]北京积水潭医院烧伤科,100035

出　　处：《中华外科杂志》2001年第9期708-710,共3页Chinese Journal of Surgery

摘　　要：目的　分析 15年微皮移植术的临床资料 ,改进大面积烧伤治疗技术。　方法　 16 2例大面积深度烧伤患者施行了微皮移植术 ,从手术适应证及手术方式、微皮制作机械化、微皮移植创面转归等方面进行临床分析。　结果　特大面积Ⅲ度烧伤、一般面积Ⅲ度烧伤、大面积肉芽创面 3种适应证进行不同方式的微皮移植。微皮存活结果 :一类愈合 89例 (5 4 9% ) ,二类愈合 6 5例 (40 1% ) ,三类愈合 8例 (5 % )。新型自动剪皮机操作简单 ,剪皮效率高 ,临床应用效果好。外层覆盖物同种皮以坏死脱落或脱屑方式消失。瘢痕形成与微皮愈合结果有关 ,一类愈合创面瘢痕轻。　结论　新型自动切皮机使微皮移植术取得一些进展。Objective To summarize microskin grafting in recent 15 years. Methods Microskin grafting was performed in 162 patients with extensive burns. The indications and forms of the grafting, mechanization in making microsk in and outcome of wound recovered by micrografts were discussed. Results Extremely extensive third degree burns, common extensive third degree burns and extensive granulation wound were healed by different ways of microskin grafting. A new machine was used to mince micrografts with good clinical results. The homografts as coverture was exfoliated in either necrosis or desquamation. Scar formation was related to wound repair. Conclusions Microskin grafting has made progress in recent years. The orientation and even spread of micrografts are very important for good wound repair. The technic should be further improved.

关 键 词：烧伤 微皮移植术 手术方式 微皮制备 

分 类 号：R644[医药卫生—外科学]