人工真皮联合自体刃厚皮片移植治疗瘢痕的临床效果  

Joint application of artificial dermis and autologous split thickness skin graft in scar plastic surgery

作　　者：杨力 黄巧洪 朱小平 郭贤钊 

机构地区：[1]广西玉林市第一人医院整形烧伤外科,537000

出　　处：《中华医学美学美容杂志》2017年第3期181-183,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的 探讨人工真皮联合自体刃厚皮片移植治疗瘢痕畸形的临床效果.方法 2011年8月至2014年12月选择瘢痕畸形患者13例,一期先切除松解引起功能及外观畸形的瘢痕组织,然后放置人工真皮覆盖创面,2周后人工真皮血管化,二期取自体刃厚皮片修复创面,术后常规抑制瘢痕治疗及功能锻炼.结果 13例瘢痕患者均如期修复创面,术后均进行6个月以上随访观察,瘢痕增生挛缩引起的功能障碍及外观畸形均明显改善,植皮处弹性及外观均与自体刃厚皮片移植无异,达到了预期临床治疗效果.结论 人工真皮联合自体刃厚皮片治疗瘢痕畸形,能取得类似传统治疗方法临床效果,是一种治疗瘢痕畸形的较好方法.Objective To observe the clinical effects of dermis combined autologous transplants in patients with abnormal scar thickness skin graft.Methods 13 cases of scar deformity were selected during August 2011 to December 2014 in our hospital.In stage 1 procedure,the scars that affected the function and induced deformities were resected and then the artificial dermis covering the wound was placed;in stage 2,two weeks after the artificial dermis vascularization,autologous skin grafts were removed to repair the wound edge.Meanwhile,therapy of inhibiting scar after conventional treatment was conducted with funcitional exercise.Results 13 cases were scheduled to repair scar wounds,underwent surgery with more than 6 months follow-up observation.The dysfunctions caused by scar contracture and deformity were significantly improved;appearance,elasticity and appearance of the skin grafts were similar to autologous skin graft with the desired clinical effect.Conclusions Artificial dermis combined autologous skin graft treatment of patients with scar deformity can achieve similar clinical effects to traditional treatment methods.

关 键 词：瘢痕 人工真皮 畸形 刃厚皮片 

分 类 号：R622[医药卫生—整形外科]