儿童小面积中厚皮片供区原位回植效果观察  

Observation of restoration effect of backgrafting in situ with split - thickness dermal graft in small graft -donor site in pediatric patients

作　　者：陈殿伟[1] 王庆生[1] 张丹方[1] 蔡延深[1] 林闻海[1] 蔡立伟[1] 

机构地区：[1]汕头市中心医院一中山大学附属汕头医院外六科,广东汕头515000

出　　处：《中国伤残医学》2015年第12期8-11,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：观察儿童小面积中厚皮片供区中厚皮片原位回植修复效果。方法：我院2011年1月-2014年6月，回植组的供皮区使用多切取的中厚皮片回植修复，总共14例，同时期，使用凡士林纱覆盖的传统方法，共15例，作为对照组。观察术后取皮区愈合时间，供皮区愈合后瘢痕情况。结果：回植组供区12．29±1．07天愈合，3个月瘢痕评分1．43±0．51分，部分皮片色素沉着。对照组供区18．60±1．96天愈合，3个月瘢痕评分6．93±0．88分，愈合后部分有起水泡，抓破等。2组创面愈合时间（P〈0．01），术后3个月瘢痕评分（P〈0．01），差别有统计学意义。结论：儿童小面积中厚皮片供区使用皮片原位回植修复，愈合时间较传统方法短，瘢痕相对较轻，具有较好的临床效果。Objective： To observe the restoration effect of backgrafting in situ with split - thickness dermal graft in the small graft - do- nor site in pediatric patients. Methods： 14 patients underwent backgrafting with multi -harvest split -thickness dermal graft in the donor area （ as the backgrafting group） from January 2011 to June 2014. Meanwhile, 15 patients underwent traditional repair with vaseline gauze dressing （ as the control group）. Post - operative wound healing time in the harvest area and the scarring condition in the donor area were compared between the two groups. Results： Wound healing time of donor areas in the backgrafting group was 12.29 ± 1.07 days, and the scarring score was 1.43 ± 0.51 in 3 months, with pigmentation in some of the grafts. In the control group, it took 18.60 ± 1.96 days for the donor areas to heal, and the 3 - month scarring score was 6.93 ± 0.88. blisters and scratches were observed alter healing in certain cases. Conclusion： Compared with traditional method of repair, backgrafting in situ with split -thickness dermal graft in the small graft - donor site in children led to shorter healing time and less scar formation, and therefore had better clinical outcomes.

关 键 词：中厚皮片 供区 植皮 回植 愈合 瘢痕 

分 类 号：R622[医药卫生—整形外科]