[1] 高盛峰,项 铁,周长凯,等. 大网膜移植结合自体断层皮植皮术治疗难愈性创面[J].中国美容医学,2020,(10):54-57.
　 GAO Sheng-feng,XIANG Tie,ZHOU Chang-kai,et al. Omentum Transplantation Combined with Auto-tomographic Skin Grafting in theTreatment of Refractory Wounds[J].Medical Aesthetics and Beauty,2020,(10):54-57.
点击复制

 大网膜移植结合自体断层皮植皮术治疗难愈性创面
()
分享到：

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2020年10期
页码:
54-57
栏目:
出版日期:
2020-10-10

文章信息/Info

Title:
 Omentum Transplantation Combined with Auto-tomographic Skin Grafting in the
Treatment of Refractory Wounds
文章编号:
1008-6455（2020）10-0054-03
作者:
 高盛峰; 项 铁; 周长凯; 龚振华
Author(s):
 GAO Sheng-feng; XIANG Tie; ZHOU Chang-kai; GONG Zhen-hua
关键词:
 [关键词]难愈性创面; 断层皮植皮术; 大网膜移植术; 围术期; 疗效
Keywords:
 Key words: refractory wound;  auto-tomographic skin grafting;  omental transplantation;  perioperative period;  efficacy
分类号:
R622
文献标志码:
A
摘要:
[摘要]目的：探究自体断层皮植皮配合大网膜移植治疗难愈性创面的疗效。方法：选取2014年5月-2017年6月笔者医院收治
的60例患有各种难愈性创面的患者，随机分为两组，其中对照组采用传统的治疗方式，实验组采用自体断层皮植皮配合大
网膜移植术，每组30例，比较两组患者的临床疗效以及预后恢复情况。结果：实验组成活率96.7%（29/30），优良率93.3%
（28/30），对照组成活率90.0%（27/30），优良率为73.3%（22/30），差异有统计学意义（P＜0.05）。两组患者在手术时
间上无明显差异，实验组术中出血量以及术后住院时间明显少于对照组，差异有统计学意义（P ＜0.05）。实验组术后并发
症发生率为3.3%（1/30），对照组为13.3%（4/30），差异有统计学意义（P＜0.05）。实验组满意度为96.7%（29/30），对
照组满意度为86.7%（26/30），差异有统计学意义（P ＜0.05）。结论：相比于传统的创面植皮等方法，自体断层皮植皮术
配合大网膜移植能够起到更好的治疗效果，成活率及优良率更高，患者住院时间短，术后不良反应较少，患者满意度高，值
得临床推广。

Abstract:
Abstract: Objective To investigate the efficacy of omentum transplantation combined with auto-tomographic skin grafting in
the treatment of refractory wounds. Methods Sixty patients with various refractory wounds admitted to our hospital from May
2014 to June 2017 were enrolled. The patients were divided into the experimental group and the control group according to
the random number table method, 30 cases in each group. The control group received traditional treatment. The experimental
group was treated with omentum transplantation combined with auto-tomographic skin grafting. The clinical efficacy and
prognosis of the two groups were compared. Results The survival rate of the experimental group was 96.7% (29/30), the
excellent and good rate was 93.3% (28/30), the control group was 90.0% (27/30), the excellent and good rate was 73.3%
(22/30), the differences were statistically significant (P ＜0.05). There was no significant difference in operation time
between the two groups (P ＞0.05). The amount of intraoperative blood loss and postoperative hospital stay in the experimental
group were significantly less than those in the control group (P ＜0.05). The incidence of postoperative complications was 3.3%
(1/30) in the experimental group and 13.3% (4/30) in the control group (P ＜0.05). The satisfaction of the experimental group
was 96.7% (29/30) and that of the control group was 86.7% (26/30), the difference was statistically significant (P ＜0.05).
Conclusion Compared with the traditional wound skin grafting and other methods, omentum transplantation combined with
auto-tomographic skin grafting can play a better therapeutic effect, higher survival rate and excellent rate, shorter hospitalization
time, fewer postoperative adverse reactions, high patient satisfaction, which is worthy of clinical promotion.

相似文献/References:

[1] 张 朦,章 磊,杜 琳. VAC联合邮票植皮修复儿童难愈性创面疗效探讨[J].中国美容医学,2020,(12):82.
　 ZHANG Meng,ZHANG Lei,DU Lin. Study on the Effect of VAC Combined with Stamp Skin Grafting on RefractoryWounds in Children[J].Medical Aesthetics and Beauty,2020,(10):82.

更新日期/Last Update: 2020-10-30