15G针头打孔自体中厚皮片对四肢深度烧伤患者的影响  

Effect of Autologous Split-thickness Skin by 15G Needle Puncture in Patients with Deep Burns of Limbs

作　　者：杨陆涛 曹青 何霞飞 潘拥军[1] YANG Lutao;CAO Qing;HE Xiafei;PAN Yongjun(Department of Burn and Wound Repair,Jiujiang NO.1 People's Hospital,Jiujiang 332000,China;不详)

机构地区：[1]九江市第一人民医院烧伤与创面修复科,江西九江332000

出　　处：《中国医学创新》2024年第17期123-128,共6页Medical Innovation of China

摘　　要：目的:探讨15G针头打孔制备自体中厚皮片对四肢深度烧伤患者瘢痕愈合情况及肢体活动功能恢复的影响。方法:回顾性选取2021年1月—2023年5月于九江市第一人民医院就诊的60例四肢深度烧伤患者,依据所行移植手术方式不同分为研究组和对照组,每组30例,其中对照组仅予以常规中厚皮片加压移植治疗,研究组予以15G针头打孔制备自体中厚皮片加压移植治疗,两组均干预至出院,追踪随访6个月。比较两组术后瘢痕愈合情况、瘢痕评分、肢体活动功能、术后疼痛程度、生活质量,并统计术后并发症例数。结果:研究组瘢痕愈合时间、住院时间均较对照组短,移植成活率较对照组高,差异均有统计学意义(P<0.05)。术后6个月,研究组温哥华瘢痕评定量表(VSS)评分均低于对照组,Fugl-Meyer评分高于对照组,差异均有统计学意义(P<0.05);研究组术后1、2周视觉模拟法评分(VAS)评分均低于对照组,差异均有统计学意义(P<0.05);研究组健康调查简表(SF-36)各维度评分均高于对照组,差异均有统计学意义(P<0.05)。结论:15G针头打孔制备自体中厚皮片能明显促进四肢深度烧伤患者瘢痕愈合,改善瘢痕状态,同时帮助肢体活动功能恢复,减轻术后创面疼痛,提高生活质量水平。Objective:To investigate the effect of autologous split-thickness skin by 15G needle puncture on scar healing and limb function recovery in patients with deep burns of limbs.Method:Sixty patients with deep burns of limbs who were treated in Jiujiang NO.1 People's Hospital from January 2021 to May 2023 were reviewed,they were divided into the study group and the control group according to different transplantation methods,with 30 cases in each group.The control group was only treated with compression transplantation of conventional split-thickness skin grafts,while the study group was treated with compression transplantation of autologous split-thickness skin grafts prepared by 15G needle puncture,both groups received intervention till discharge and were followed up for 6 months.Postoperative scar healing,limb function,postoperative pain degree,and quality of life were compared between the two groups,the number of patients with postoperative complications was calculated.Result:Scar healing time and hospital stay of the study group were shorter,and the survival rate of skin grafts was higher,compared to the control group,the differences were statistically significant(P<0.05).At 6 months after surgery,the scores of Vancouver scar scale(VSS)of the study group were lower,and the Fugl-Meyer score was higher compared to the control group,the differences were statistically significant(P<0.05).At 1 week and 2 weeks after surgery,the visual analogue scale(VAS)scores of the study group were lower than those of the control group,the differences were statistically significant(P<0.05).The MOS item short form health survey(SF-36)of the study group were higher than those of the control group at 6 months after surgery,the differences were statistically significant(P<0.05).Conclusion:Applying autologous split-thickness skin by 15G needle puncture to treat patients with deep burns of limbs can significantly promote scar healing,improve scar condition,help restore limb function,reduce postoperative wound pain,and improve the quality

关 键 词：15G针头打孔 自体中厚皮片 四肢深度烧伤 瘢痕愈合 

分 类 号：R644[医药卫生—外科学]