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中国现代手术学杂志  2017, Vol. 21 Issue (2): 141-144    DOI: 10.16260/j.cnki.1009 -2188.2017.02.015
  临床论著 |
人工真皮联合自体皮片移植在创面修复外科中的应用效果观察
杨力,潘圣鑫,薛君荣,蒋鹏,郭贤钊
玉林市第一人医院整形烧伤外科,玉林537000
Effect of Artificial Dermis Combined with Autologous Skin Transplantation on Wound Surface Repair
YANG Li,PAN Sheng-xin,XUE Jun-rong,JIANG Peng,GUO Xian-zhao
Department of Burn and Plastic Surgery,the First People's Hospital of Yulin,Yulin 537000,Guangxi,China
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摘要 目的 通过观察人工真皮联合自体皮片移植在创面修复外科中应用的临床效果,探讨该术式在创面修复外科中的应用方法与价值。方法选择2011年8月~2016年5月我科收住的需进行创面修复的病例共56例,一期先扩创去除坏死组织或切除松解引起功能障碍及外观畸形的瘢痕组织,然后放置人工真皮覆盖创面,3~4周后人工真皮血管化,二期取自体皮片修复创面。结果56例创面均完成修复,4例患者因真皮部份感染溶解,需补植人工真皮1次后修复;2例无法形成类真皮组织,改行皮瓣修复;余病例均按计划两次手术结束修复。愈合效果接近自体中厚皮片移植,应用人工真皮修复患者供区损伤均轻微。结论人工真皮联合自体皮片移植在创面修复外科中是除传统修复方式外的一种良好选择。
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杨力,潘圣鑫,薛君荣,蒋鹏,郭贤钊
关键词:  人工真皮  自体皮片  创面修复外科    
Abstract: ObjectiveTo observe the effectiveness of the clinical application of the artificial dermis combined with autologous skin surgery grafting for wound repair.MethodsThere were 56 cases needed wound repair who were hospitalized in our department from August 2011 to May 2016.At first,expansion removal of necrotic tissue or resection of scar tissue with dysfunction and deformed appearance was carried out,and then the artificial dermis was covered on the wound.After 3~4 weeks of artificial dermal vascularization,the second phase was treated with autologous skin graft.ResultsAll the wounds of 56 cases were completely repaired.There were 4 cases of dermal infection caused by dermal dissolution,and an artificial dermis re-plantation was needed.There were 2 cases failed in dermal tissue formation,and then the skin flap repair was used.The remaining cases successfully finished the two steps of operation plans.The healing effect was similar to the autologous mid-thickness skin graft,and the injury of donor sites was slight in the artificial dermal repair.ConclusionsIt is a good choice of the artificial dermis combined with autologous skin graft in plastic surgery with good clinical effects in addition to the traditional reconstruction methods.
Key words:  artificial dermis    autologous skin grafts    wound repair surgery
收稿日期:  2016-12-02      修回日期:  2017-04-19                发布日期:  2018-05-25      期的出版日期:  2017-04-26
ZTFLH:  R644  
通讯作者:  潘圣鑫   
作者简介:  杨力,男,玉林市第一人医院整形烧伤外科副主任医师。
引用本文:    
杨力,潘圣鑫,薛君荣,蒋鹏,郭贤钊. 人工真皮联合自体皮片移植在创面修复外科中的应用效果观察[J]. 中国现代手术学杂志, 2017, 21(2): 141-144.
YANG Li. Effect of Artificial Dermis Combined with Autologous Skin Transplantation on Wound Surface Repair. Chinese Journal of Modern Operative Surgery, 2017, 21(2): 141-144.
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http://www.surgerychina.com/CN/10.16260/j.cnki.1009 -2188.2017.02.015  或          http://www.surgerychina.com/CN/Y2017/V21/I2/141
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[1] 杨力, 潘圣鑫, 薛君荣, 蒋鹏, 郭贤钊. 人工真皮联合自体皮片移植在创面修复外科中的应用效果观察[J]. 中国现代手术学杂志, 2017, 21(2): 141-144.
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