邮票皮、Meek皮在大面积烧伤患者创面修复作用中的对比  

Comparative study on the repairing effect of stamp skin and meek skin on wounds in patients with extensive burns

作　　者：江碧川 高优 郭志谦 张新合 Jiang Bichuan;Gao You;Guo Zhiqian;Zhang Xinhe(Department of Plastic Surgery and Burn,Xiamen Humanity Hospital,Fujian Medical University,Xiamen 36 J000,China;Department of Burn and Plastic,N0.73th Army Hospital of PLA,Xiamen 361003,China)

机构地区：[1]福建医科大学附属厦门弘爱医院整形与烧伤外科,厦门361000 [2]解放军陆军第七三集团军医院烧伤整形科,厦门361003

出　　处：《中国医师杂志》2020年第10期1533-1536,共4页Journal of Chinese Physician

摘　　要：目的探讨邮票皮、Meek皮在大面积烧伤患者创面修复中治疗效果差异。方法选取2016年3月至2018年2月陆军第七三集团军医院诊治大面积烧伤患者81例进行研究,根据患者术前选择创面修复方式分为A组(邮票皮植皮,35例)和B组(Meek皮植皮,46例),比较两组患者皮片存活和愈合情况、治疗费用、死亡情况及康复情况。结果 A组和B组患者植皮皮片一期存活率及创面愈合率、患者死亡率比较差异无统计学意义(82.86% vs 86.96%,5.71% vs 8.70%,P>0.05)。A组患者皮片成活率高于B组,创面愈合时间、1%体表总面积(TBSA)烧伤面积治疗费用均低于B组[(76.3±5.1)% vs (67.9±6.2)%,(41.5±4.9)d vs (45.8±5.1)d,(1 215.6±235.1)元vs (7 689.5±681.0)元,P<0.05]。A组患者康复优良率显著低于B组(68.57% vs 86.96%,P<0.05)。结论邮票皮在大面积烧伤患者创面修复中应用,相对Meek皮修复具有更高植皮皮片成活率,能缩短创面愈合时间、降低治疗费用,但康复效果较差。Objective To explore the difference in the therapeutic effect of stamp skin and meek skin on wound repair in patients with extensive bums.Methods A total of 81 patients with extensive burn from March 2016 to Februaiy 2018 in 73th Army Hospital of PLA were selected and divided into group A(stamp skin grafting,35 cases)and group B(meek skin grafting,46 cases)according to the choice of wound repair methods before operation.The survival and healing conditions,treatment costs,mortality and rehabilitation of the two groups were compared.Results There was no significant difference in the survival rate,wound healing rate and mortality between group A and group B(82.86%vs 86.96%,5.71%vs 8.70%,P>0.05).The survival rate of skin graft in group A was higher than that in group B,and the wound healing time and treat me nt cost of 1%total body surface area(TBSA)in group A were lower tha n those in group B[(76.3±5.1)%vs(67.9±6.2)%,(41.5±4.9)d vs(45.8±5.l)d,(1215.6±235.1)yuan vs(7689.5±681.0)yuan,P<0.05].The excellent and good rate of rehabilitation in group A was significantly lower than that in group B(68.57%vs 86.96%,P<0.05).Conclusions The application of the stamp skin in the repair of wounds in large-area burn patients has a higher flap sunival rate than meek skin repair,which can shorten the healing time of the flap and reduce the treatment cost,but the rehabilitation effect is poor.

关 键 词：烧伤 皮肤移植 移植物存活 邮票皮 Meek皮 

分 类 号：R644[医药卫生—外科学]