自体小柱形复合皮散布式种植治疗背部深度烧伤1例报道  

Autologous small columnar skin dispersedly implanting for treatment of deep back burn:a case report

作　　者：姚智华 彭敏 魏通坤 孔超 常东方[1] YAO Zhihua;PENG Min;WEI Tongkun;KONG Chao;CHANG Dongfang(Department of Burns and Plastic Surgery,Yongchuan Hospital of Chongqing Medical University,Chongqing 402160,China)

机构地区：[1]重庆医科大学附属永川医院烧伤整形科,402160

出　　处：《重庆医学》2020年第18期3098-3101,共4页Chongqing medicine

摘　　要：目的探讨自体小柱形复合皮散布式种植治疗1例背部深度烧伤患者的临床效果。方法局部麻醉下在背部深度烧伤创面以2 cm间距散布式环形钻孔,去除孔内坏死组织形成皮坑,在坑内种植2 mm直径的自体小柱形复合皮,观察创面愈合情况。结果患者背部深Ⅱ度烧伤创面种植的自体小柱形复合皮全部存活,换药44 d愈合;背部Ⅲ度烧伤创面种植的自体小柱形复合皮小部分存活,换药60 d愈合。结论中小面积的深Ⅱ度烧伤创面可以采用自体小柱形复合皮散布式种植的方式修复,Ⅲ度烧伤创面采用自体小柱形复合皮散布式种植效果不佳。Objective To investigate the clinical effects of the dispersed implantation of autologous small columnar skin for treating deep back burn.Methods Under local anesthesia,hundreds of scattered annular holes were drilled in a distributed pattern with 2 cm intervals on the back to remove the necrotic tissue and form tissue holes.Autologous small columnar skins with a diameter of 2 mm were transplanted into the holes,The wound healing was observed.Results All the autologous small columnar skins planted on the deep second-degree burn wounds on the back of the patients survived and healed after 44 days.Only a small part of autologous small columnar skins grafted on the third-degree burn wounds survived and healed after 60 days.Conclusion Small-or medium-sized and deep second-degree burn wounds can be repaired by dispersedly implanting autologous small columnar skins,but this technology is not effective for third-degree burn wounds.

关 键 词：背部 深度烧伤 散布式种植 自体小柱形复合皮 中小面积 

分 类 号：R622.1[医药卫生—整形外科]