人工真皮基质联合刃厚皮片移植修复手足部肌腱及骨外露疗效观察<br />-《中国美容医学》

文章信息/Info

Title:: Clinical Effect of Artificial Dermal Matrix Combined with Blade Thickness Skin Graft in
Repairing Tendon and Bone Exposure of Hand and Foot

Keywords:: Key words: artificial dermal matrix; blade thickness skin graft; tendon exposure; bone exposure; skin graft survival; rupture; scar

摘要:: [摘要]目的：探究人工真皮基质联合刃厚皮片移植修复手足部肌腱及骨外露的临床效果。方法：选取2018年9月-2020年7月
笔者医院收治的手足部肌腱及骨外露患者113例。根据治疗方法不同分为观察组（58例）和对照组（55例），对照组采用皮
能快愈敷料联合刃厚皮片植皮修复，观察组采用人工真皮基质联合刃厚皮片植皮修复。分析两组植皮次数、移植间隔时间，
修复10d后皮片成活率和破溃率及修复6个月后瘢痕评分情况。结果：两组植皮次数、皮片成活率、皮片破溃率及温哥华瘢痕量
表评分比较差异均无统计学意义（P＞0.05）。观察组移植间隔时间大于对照组，差异有统计学意义（P ＜0.05）。结论：人工
真皮基质联合刃厚皮片移植修复手足部肌腱及骨外露效果较好，与皮能快愈敷料接近，但人工真皮基质移植间隔相对较长。

Abstract:: Abstract: Objective To explore the clinical effect of artificial dermal matrix combined with blade thickness skin graft in
repairing tendon and bone exposure within hand and foot. Methods From September 2018 to July 2020, 113 cases of hand foot
tendon and bone exposure were selected. According to the different treatment methods, they were divided into the observation
group (58 cases) and the control group (55 cases). The control group was repaired with Pelnac combined with blade thickness
skin graft, while the observation group was repaired with artificial dermal matrix combined with blade thickness skin graft.
The times of skin grafting, the interval between transplantation, the survival rate and collapse rate of skin after 10 days and the
scar score after 6 months were analyzed. Results There was no significant difference in the number of skin grafts, skin graft
survival rate, skin graft rupture rate and Vancouver Scar Scale score between the two groups (P ＞0.05). The transplantation
interval of the observation group was greater than that of the control group, the difference was statistically significant (P ＜0.05).
Conclusion Artificial dermal matrix combined with blade thickness skin graft in repairing tendon and bone exposure with hand
and foot has good efficacy which was similar to that of Pelnac, but the interval of artificial dermal matrix transplantation was
rather long.