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一种新的皮肤移植方法——自体上皮异体真皮混合皮浆移植治疗Ⅲ度烧伤

Skin pulp of auto-epithelium and homeoderma in the treatment of extensive full thickness burns——A new method of skin grafting

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【作者】 孙永华; 李迟; 韩行义; 苏虹; 阎汝蕴; 马春旭; Hettich.R;

【Author】 Sun Yong-hua et al Jisuitan Hospital, Beijing

【机构】 北京积水潭医院; 北京积水潭医院; 北京市创伤骨科研究所;

【摘要】 我们自1986年12月开始采用自体上皮、异体真皮皮浆混合移植,自体表皮和异体真皮被处理成极小的皮肤即皮浆,两者适当的比例混合约3:1~5:1,救活了10例19~57岁成年病人,本组病例最大烧伤面积为90%,最大Ⅲ度面积为75%, 此种方法治疗大面积全层皮肤烧伤,节省了自体皮片,应用1%的自体皮可以覆盖20~30%的创面,简化了手术方法,缩短了手术时间,且功能良好。

【Abstract】 While various procedures if treating burns are being developed and improved, the survival rate of those cases with extensive third degree burns remains about 50 percent. and it is even worse in the case of those with third degree burns over 70 percent of the body area. It is believed to be the main causative factor affecting the survival of those patients, that due to lack of autoskin as the source for grafting, the wound surface were always failed to be covered with autograft. Thereafter, many scholars at home and abroad focus on finding out new approach to solve the problem of demanding autoskin. Since Dec. 1986 we designed and adopted a new method of grafting——skin palp of auto-epithelium and homeoderma the proportion of 3-5:1. Ten patients, 19-57 yearsold, with TBA the most 90% and 75% full thickness burns, were cured. Treating extensive burns with this method has provided more efficient in utilizing autoskin for grafting and easier to carry out. Also, it is confirmed that the wound surface healed well and function of the affected were improved.

【关键词】 皮肤移植; 上皮; 真皮;
  • 【被引频次】20
  • 【下载频次】46
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