| 黄 振.Meek植皮术在大面积深度烧伤创面中的临床应用[J].中国烧伤创疡杂志,2017,(6):396~398. |
| DOI： |
| 中文关键词: Meek 植皮术 大面积烧伤 深度烧伤 微粒皮 异体皮 疗效 |
| 英文关键词:Meek skin grafting technique Large area burn Critical burn Micro-skin Homograft Efficacy |
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| 中文摘要: |
| 目的 对比分析Meek 植皮术在大面积深度烧伤患者创面治疗中的临床疗效?方法 将2014 年5月—2017 年5 月徐州仁慈医院整形美容外科收治的56 例大面积深度烧伤患者随机分为观察组(28例) 与对照组(28例), 其中观察组患者创面采用Meek 植皮术治疗, 对照组患者创面采用自体微粒皮联合大张同种异体皮片治疗, 对比观察两组患者的皮片制备时间及创面愈合时间?结果 观察组皮片制备时间为(29.8±3.9) min, 创面愈合时间为(19.1±4.2) d, 明显短于对照组的皮片制备时间(83.3 ±10.5) min, 创面愈合时间(36.3±4.9) d,P 均<0.01, 差异具有统计学意义?结论 Meek 植皮术治疗大面积深度烧伤, 可有效解决自体皮源不足?手术操作繁琐及麻醉时间较长等问题, 缩短手术时间及创面愈合时间, 疗效显著, 值得临床推广应用? |
| 英文摘要: |
| Objective To compare and analyze the clinical effect of Meek skin grafting technique in the treatment of severely burned patients Methods 56 patients with extensive severe burns, admitted to Plastic and Reconstructive Surgery, Love and Mercy Hospital of Xuzhou From May 2014 to May 2017, were randomly divided into observation group (28 cases) and control group(28 cases). Observation group was treated with Meek skin grafting technique while control group was treated with autologous micro-skin combined with large piece of homograft. Skin graft preparation time and wound healing time for the patients of the two groups were observed and compared. Result For observation group, graft preparation time was (29.8±3.9）min, wound healing time was （19.1±4.2）d, much shorter than that of control group, for which graft preparation time was （83.3±10.5）min and wound healing time was （36.3±4.9）d. The comparison between the two groups showed statistically significant difference(P＜0.01). Conclusion Meek skin grafting technique can solve the following problems, such as insufficient resource of auto skin graft, complicated surgical procedure and long anesthesia time, and reduce wound healing time and operation time. It should be promoted in clinical practice due to its excellent efficacy. |
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