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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:

期数:

2023年1期

页码:

45-48

栏目:

出版日期:

2023-01-15

文章信息/Info

Title:

Repair of Skin and Soft Tissue Defects with Artifi cial Dermis and Autologous Split thickness Skin Graft

文章编号:

1008-6455（2023）01-0045-04

作者:

段雪敬; 王 倩; 郭秀侠; 赵宇辉; 王 阳; 张静涛

(唐山市工人医院烧伤整形一科 河北 唐山 053200)

Author(s):

DUAN Xuejing; WANG Qian; GUO Xiuxia; ZHAO Yuhui; WANG Yang; ZHANG Jingtao

(The First Department of Burns and Plastic Surgery,Tangshan Workers’ Hospital,Tangshan 053200,Hebei,China)

关键词:

人工真皮; 自体刃厚皮; 皮肤软组织缺损; 瘢痕

Keywords:

artifi cial dermis;  autologous split-thickness skin;  skin and soft tissue defects;  scar

分类号:

R622

文献标志码:

A

摘要:

目的：探究人工真皮复合自体刃厚皮片移植修复皮肤软组织缺损的疗效。方法：回顾2019年6月-2020年12月于唐山市工人医院行皮肤软组织缺损修复的患者60例，依据治疗方法不同分为观察组和对照组，每组30例。对照组接受自体刃厚皮移植术，观察组接受人工真皮复合自体刃厚皮片移植术，记录两组植皮成活情况及植皮区、供皮区愈合时间，比较两组治疗前后植皮区、供皮区瘢痕增生以及并发症发生情况。结果：观察组植皮成活情况明显优于对照组，植皮区愈合时间明显短于对照组，差异有统计学意义（P＜0.05）；供皮区愈合时间比较差异无统计学意义（P＞0.05）。术后1、3、6个月观察组植皮区温哥华瘢痕量表（Vancouver scar scale，VSS）评分明显低于对照组，差异有统计学意义（P＜0.05）；两组供皮区VSS评分比较差异无统计学意义（P＞0.05）。观察组术后并发症总发生率明显低于对照组，差异有统计学意义（P＜0.05）。结论：人工真皮复合自体刃厚皮片移植修复皮肤软组织缺损效果显著，可缩短植皮区愈合时间，降低患者植皮区瘢痕增生程度及手术相关并发症风险，具有较高临床应用价值。

Abstract:

Objective To explore the cosmetic results of artifi cial dermis combined with autologous split-thickness skin graft in repairing skin and soft tissue defects. Methods This study retrospectively reviewed 60 patients who underwent skin defect repair in Tangshan Workers’ Hospital from June 2019 to December 2020. According to diff erent treatment methods, the patients were divided into the observation group and the control group with 30 patients in each group. Patients in the control group were treated with autologous split-thickness skin graft, while patients in the observation group were treated with artifi cial dermis combined with autologous split-thickness skin graft. The survival of skin grafts, healing time of skin graft area and donor area were recorded. The situation of scar forming in graft area and donor area, and operation-related complications were compared between the two groups. Results The survival of skin graft in the observation group was signifi cantly better than that in the control group, and the healing time of skin graft area was signifi cantly shorter than that in the control group, the diff erences were statistically signifi cant (P＜0.05). There was no signifi cant diff erence in healing time of donor site (P＞0.05). The Vancouver scar scale (VSS) scores of skin graft area in the observation group at 1 month, 3 months and 6 months after operation were signifi cantly lower than those of the control group (P＜0.05). But there were no statistically signifi cant diff erence in the VSS score of donor area between the two groups (P＞0.05). The total incidence of postoperative complications in the observation group was signifi cantly lower than that in the control group (P＜0.05). Conclusion Artifi cial dermis combined with autologous split-thickness skin graft is eff ective in repairing skin and soft tissue defects, which can shorten the healing time of skin graft area, reduce scar formation in skin graft area and lower the risk of operation-related complications.

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更新日期/Last Update: 2023-01-29