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《脫細(xì)胞異體真皮與自體微粒皮復(fù)合移植治療深度燒傷愈合后皮膚質(zhì)量觀察》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在行業(yè)資料-天天文庫(kù)。
1、中國(guó)美容醫(yī)學(xué)2009年6月第18卷第6期ChineseJournalofAestheticMedicine.Jun.2009.Vol.18.No.6817·論著·脫細(xì)胞異體真皮與自體微粒皮復(fù)合移植治療深度燒傷愈合后皮膚質(zhì)量觀察123李智，張寶林，賈赤宇（1.山西醫(yī)科大學(xué)第一臨床醫(yī)學(xué)院山西太原030001；2.山西醫(yī)科大學(xué)第一臨床醫(yī)學(xué)院燒傷科山西太原030001；3.解放軍總醫(yī)院燒傷整形醫(yī)院全軍燒傷研究所北京100037）[摘要]目的：為大面積深度燒傷創(chuàng)面修復(fù)選擇良好的覆蓋材料，以解決自體中厚皮源不足的難題；提高創(chuàng)面愈合質(zhì)量。方法：對(duì)16例大面積燒傷患者切削痂后分二組植皮，實(shí)驗(yàn)組：
2、采用脫細(xì)胞異體真皮基質(zhì)和自體微粒皮復(fù)合移植（簡(jiǎn)稱復(fù)合皮移植），對(duì)照組：?jiǎn)渭冇梦⒘Ｆひ浦?，并用溫哥華瘢痕評(píng)量表定期隨訪觀察創(chuàng)面近、遠(yuǎn)期效果。結(jié)果：術(shù)后1個(gè)月，實(shí)驗(yàn)組與對(duì)照組創(chuàng)面愈合基的外觀、質(zhì)地、耐磨性、關(guān)節(jié)的功能及溫哥華評(píng)分無(wú)明顯差異。術(shù)后6個(gè)月，12個(gè)月，實(shí)驗(yàn)組創(chuàng)面愈合后的外觀、質(zhì)地、耐磨性、關(guān)礎(chǔ)節(jié)功能及溫哥華瘢痕評(píng)分明顯優(yōu)于對(duì)照組。結(jié)論：對(duì)大面積深度燒傷患者行復(fù)合皮移植，可減輕瘢痕增生，改善創(chuàng)面外觀及關(guān)研節(jié)功能，可達(dá)到中厚皮移植的效果。究[關(guān)鍵詞］燒傷；脫細(xì)胞異體真皮；自體微粒皮；復(fù)合移植。[中圖分類號(hào)]R622[文獻(xiàn)標(biāo)識(shí)碼]A[文章編號(hào)]1008-6455（2009）06-
3、0817-03Theobservationofthequalityafterthewoundhealingofcompositetransplantionofaccellularallo-dermismatrixwithauto-microskinondeepburnwoundLIZhi1,ZHANGBao-lin2,JIAChi-yu3(1.FirstClinicalMedicalSchoolofShanxiMedicalUniversity,Taiyuan030001,Shanxi,China;2.DepartmentofBurn,theFirstClinicalMedica
4、lSchoolofShanxiMedicalUniversity,Taiyuan030001,Shanxi,China;3.BurnsandPlasticSurgeryHospitalofPeople'sLiberationArmyGeneralHospital,Beijing100037,China)Abstract:ObjectivethispaperistoselectopportunecoveragematerialsfortherestorationofLargeareaanddeepburnwoundtoimprovethewoundhealingeffectsand
5、toaddressthesourceofautologousMediumTernstroemiaproblemofinsufficient.Methods16casesoflargeareaanddeepburnwoundweredividedintotwogroupstograftskinafterescharexcision:theexperimentalgroup:theclinicalobservationofcompositetransplantationofacellulardermalmatrixwithautologoussplit-thicknessskin(c
6、ompositetransplantationforshort)thecontrolgroup:transplantationwithsplit-thicknessskinsimply,andthenthelong-termeffectsofthewoundanddonorsitewereevaluatedwithVancouverscarscale.Resultsonemonthsafterthesurgery,therewasnomarkeddifferenceinthetheappearance,texture,abrasionresistance,functionofjo
7、intandVancouverscoreoftheexperimentalgroupandthecontrolgroup.Sixandtwelevemonthsafterthesurgery,theappearance,texture,abrasionresistance,functionofjoint,patients'satisfactionandVancouverscoreoftheexperimentalgroupobviouslyexcelledthecontrolon
