自体焦痂与异种脱细胞真皮微粒皮肤移植术治疗皮肤烧伤疗效比较

发布时间：2019-03-14 17:50

【摘要】：目的比较自体焦痂与异种脱细胞真皮微粒皮肤移植术治疗皮肤烧伤的疗效。方法选择2014年1月至2015年1月新乡市第二人民医院收治的皮肤烧伤患者24例,随机分为对照组和观察组,每组12例,对照组患者接受异种脱细胞真皮微粒皮肤移植术,观察组患者行自体焦痂微粒皮肤移植术,观察2组患者覆盖物外观变化、微粒皮肤存活情况及术后愈合情况。结果观察组和对照组患者残留创面分别为(21.3±4.3)%和(34.8±3.4)%,观察组患者残留创面显著小于对照组(t=8.531,P0.05)。观察组和对照组患者创面愈合时间分别为(66.3±13.1)d和(53.7±15.3)d,观察组患者创面愈合时间显著长于对照组(t=2.199,P0.05);观察组和对照组患者创面愈合率分别为(89.7±23.2)%和(70.3±21.4)%,观察组患者创面愈合率显著高于对照组(t=2.158,P0.05)。观察组和对照组患者满意度评分分别为23.1±5.7和17.8±5.5,观察组患者满意度评分显著高于对照组(t=2.274,P0.05)。结论自体焦痂微粒皮肤移植术治疗皮肤烧伤创面愈合率较高,外观较好,其疗效优于异种脱细胞真皮微粒皮肤移植术。
[Abstract]:Objective to compare the efficacy of autologous scab and xenograft acellular dermal microskin grafting in the treatment of skin burn. Methods from January 2014 to January 2015, 24 patients with skin burn were randomly divided into two groups: the control group (n = 12) and the observation group (n = 12), and the control group (n = 12) received xenograft acellular dermal microskin grafting. The patients in the observation group were treated with autologous scab microskin grafting. The changes of the covering appearance, the survival of the microparticle skin and the healing after operation were observed in the two groups. Results the residual wounds in the observation group and the control group were (21.3 卤4.3)% and (34.8 卤3.4)%, respectively. The residual wounds in the observation group were significantly lower than those in the control group (t = 8.531, P0.05). The time of wound healing in observation group and control group was (66.3 卤13.1) days and (53.7 卤15.3) days, respectively. The time of wound healing in observation group was significantly longer than that in control group (t = 2.199, P0.05). The wound healing rate in observation group and control group was (89.7 卤23.2)% and (70.3 卤21.4)%, respectively. The wound healing rate in observation group was significantly higher than that in control group (t = 2.158, P0.05). The satisfaction scores of patients in observation group and control group were 23.1 卤5.7 and 17.8 卤5.5, respectively. The scores of patients satisfaction in observation group were significantly higher than those in control group (t = 2.274, P0.05). Conclusion the healing rate and appearance of skin grafting with autologous scab particles are higher and better than that of xenograft acellular dermal microskin grafting in the treatment of burn wounds. [WT5 "HZ] conclusion [WT5" BZ]
【作者单位】：新乡市第二人民医院烧伤一科;新乡医学院三全学院教务处;
【分类号】：R644

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