大网膜移植结合自体断层皮植皮术治疗难愈性创面  

Omentum Transplantation Combined with Auto-tomographic Skin Grafting in theTreatment of Refractory Wounds

作　　者：高盛峰 项铁 周长凯 龚振华 GAO Sheng-feng;XIANG Tie;ZHOU Chang-kai;GONG Zhen-hua(Department of Burn and Plastic Surgery,the Second Affiliated Hospital of Nantong University,Nantong No.1 People's Hospital,Nantong 226000,Jiangsu,China)

机构地区：[1]南通大学第二附属医院南通市第一人民医院烧伤整形外科,江苏南通226000

出　　处：《中国美容医学》2020年第10期54-57,共4页Chinese Journal of Aesthetic Medicine

基　　金：江苏省卫生健康委2019年度医学科研项目(编号:Z2019031);江苏省卫生计生委科研课题(编号:H2017054);2019年度南通大学临床医学专项项目(编号:2019JZ003)。

摘　　要：目的:探究自体断层皮植皮配合大网膜移植治疗难愈性创面的疗效。方法:选取2014年5月-2017年6月笔者医院收治的60例患有各种难愈性创面的患者,随机分为两组,其中对照组采用传统的治疗方式,实验组采用自体断层皮植皮配合大网膜移植术,每组30例,比较两组患者的临床疗效以及预后恢复情况。结果:实验组成活率96.7%(29/30),优良率93.3%(28/30),对照组成活率90.0%(27/30),优良率为73.3%(22/30),差异有统计学意义(P<0.05)。两组患者在手术时间上无明显差异,实验组术中出血量以及术后住院时间明显少于对照组,差异有统计学意义(P<0.05)。实验组术后并发症发生率为3.3%(1/30),对照组为13.3%(4/30),差异有统计学意义(P<0.05)。实验组满意度为96.7%(29/30),对照组满意度为86.7%(26/30),差异有统计学意义(P<0.05)。结论:相比于传统的创面植皮等方法,自体断层皮植皮术配合大网膜移植能够起到更好的治疗效果,成活率及优良率更高,患者住院时间短,术后不良反应较少,患者满意度高,值得临床推广。Objective To investigate the efficacy of omentum transplantation combined with auto-tomographic skin grafting in the treatment of refractory wounds.Methods Sixty patients with various refractory wounds admitted to our hospital from May 2014 to June 2017 were enrolled.The patients were divided into the experimental group and the control group according to the random number table method,30 cases in each group.The control group received traditional treatment.The experimental group was treated with omentum transplantation combined with auto-tomographic skin grafting.The clinical efficacy and prognosis of the two groups were compared.Results The survival rate of the experimental group was 96.7%(29/30),the excellent and good rate was 93.3%(28/30),the control group was 90.0%(27/30),the excellent and good rate was 73.3%(22/30),the differences were statistically significant(P<0.05).There was no significant difference in operation time between the two groups(P>0.05).The amount of intraoperative blood loss and postoperative hospital stay in the experimental group were significantly less than those in the control group(P<0.05).The incidence of postoperative complications was 3.3%(1/30)in the experimental group and 13.3%(4/30)in the control group(P<0.05).The satisfaction of the experimental group was 96.7%(29/30)and that of the control group was 86.7%(26/30),the difference was statistically significant(P<0.05).Conclusion Compared with the traditional wound skin grafting and other methods,omentum transplantation combined with auto-tomographic skin grafting can play a better therapeutic effect,higher survival rate and excellent rate,shorter hospitalization time,fewer postoperative adverse reactions,high patient satisfaction,which is worthy of clinical promotion.

关 键 词：难愈性创面 断层皮植皮术 大网膜移植术 围术期 疗效 

分 类 号：R622[医药卫生—整形外科]