64例手背深Ⅱ度烧伤患者Ⅱ期自体皮片移植的疗效及对炎症指标的研究  

The efficacy of stageⅡautologous skin patch grafting in 64 patients with deep partial thickness burns on the dorsum of the hand and its effect on inflammatory indices

作　　者：孙敬恩 焦颂颂 林伟华 李罡 张志 SUN Jing-en;JIAO Song-song;LIN Wie-hua;LI Gang;ZHANG Zhi(Department of Burns and Plastic Surgery,Guangzhou Red Cross Hospital,Jinan University,Guangzhou,Guangdong 510220,China;Orthopedics,Guangzhou Red Cross Hospital,Jinan University,Guangzhou,Guangdong 510220,China)

机构地区：[1]暨南大学附属广州红十字会医院烧伤整形科,广州510220 [2]暨南大学附属广州红十字会医院骨科,广州510220

出　　处：《岭南现代临床外科》2023年第6期480-484,共5页Lingnan Modern Clinics in Surgery

基　　金：广州市科技计划(202102010046)。

摘　　要：目的探究分析Ⅱ期自体皮片移植对手背深Ⅱ度烧伤的远期效果。方法选取入组本院2020年1月到2023年3月收治的手背深Ⅱ度烧伤患者共64例,Ⅰ期用异种(猪)皮覆盖创面,一周后再应用自体薄中厚皮片Ⅱ期修复创面,分析患者手术结果、并发症、满意度及炎性反应指标。结果创面愈合时间平均在21.94 d未出现并发症,平均成活率98.66%,整体满意度高。Ⅰ期术前2 d、术后2 d、Ⅱ期术前2 d及Ⅱ期术后2 d对比,WBC、CRP及IL-6逐步下降。结论对手背深Ⅱ度烧伤患者进行分期自体薄中厚皮片移植,效果理想,炎症反应明显减轻,有利于患者手部功能恢复。Objective To analyze the long-term effects of stageⅡautologous skin grafts on deep partial thickness burns of the dorsum of the hand.Methods A total of 64 patients with deep partial thickness burns on the dorsum of the hand admitted to the hospital from January 2020 to March 2023 were retrospectively analysed.The wounds were covered with xenogeneic(porcine)in the stageⅠ,followed by the application of autologous thin intermediate thickness free skin grafts to repair the wounds in phaseⅡone week later.The surgical results,complications,satisfaction and inflammatory response indicators were analysed.Results The average wound healing time of these patients was 21.94 d.There were no complications found.Average survival rate is 98.66%,and overall satisfaction was high.WBC,CRP and IL-6 gradually decreased in stageⅠtwo days preoperatively,two days postoperatively,two days preoperatively and two days postoperatively in stageⅡwhen compared.Conclusion Staged autolo-gous thin intermediate-thickness skin grafting in patients with deep partial thickness burn on the dorsum of the hand was ideal,with a significant reduction in inflammatory response and beneficial to the patients′functional recovery of the hand.

关 键 词：自体皮移植术 薄中厚皮片 手背烧伤 疗效 炎症反应 

分 类 号：R644[医药卫生—外科学]