贵州医科大学学报

2016, v.41;No.192(09) 1111-1114

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Meek植皮术修复大面积重度烧伤创面的疗效观察
Efficacy of Meek Skin Grafting Technique in the Treatment of Large Area Burns

李云飞;龙晓东;李永忠;
LI Yunfei;LONG Xiaodong;LI Yongzhong;Burn and Plastic Surgery Department,The People's Hospital of Deyang City;

摘要(Abstract):

目的:观察Meek植皮术在大面积重度烧伤创面修复中的治疗效果。方法:54例大面积重度烧伤患者,根据术式分为观察组(28例,实施Meek植皮术)和对照组(26例,实施微粒皮移植术),比较两组患者术后第7天时皮片存活率、皮片融合时间及创面愈合时间评价近期疗效;比较两组患者术后1年时的疤痕厚度和硬度、关节活动角度评价远期疗效;比较两组患者1%TBSA治疗费用。结果:观察组患者术后第7天的皮片存活率显著高于对照组,皮片融合时间、创面愈合时间显著短于对照组(P<0.05);术后1年时,观察组患者疤痕厚度及疤痕硬度显著低于对照组,关节活动角度显著大于对照组(P<0.05);出院时,观察组患者出院时1%TBSA治疗费用低于对照组(P<0.05)。结论:Meek植皮术在修复大面积重度烧伤的治疗效果优于微粒皮移植术,近远期的治疗效果均较好,手术费用低。
Objective: To analysis the clinical effect of Meek skin grafting technique in the treatment of exceptionally large area burns. Methods: 28 cases in observe group received Meek skin grafting,26 cases in control group received particle skin grafting,the therapeutic effects were observed. Results:The skin graft survival rate after 7 d,skin graft healing time,wound healing time,scar thickness,hardness scars,joint activities and the angle at discharge 1% TBSA treatment costs and other indicators in observation group were significantly better than the control group( P < 0. 05); one year after surgery,scar thickness and hardness of observe group was obviously lower than control group,joint angle was bigger than control group( P < 0. 05). When discharged,1% TBSA cost of observe group was lower than control group. Conclusion: Compared with micro- skin grafting,Meek skin grafting has good effect in repairing exceptionally large area burns,short term and long- term efficacy were both good with low surgery cost.

关键词(KeyWords): Meek植皮术;微粒皮移植;移植;烧伤,大面积,重度;Meek微型皮片
Meek skin grafting;micro skin transplantation;transplantation;burns;large area;severe;Meek micro skin

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作者(Author): 李云飞;龙晓东;李永忠;
LI Yunfei;LONG Xiaodong;LI Yongzhong;Burn and Plastic Surgery Department,The People's Hospital of Deyang City;

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