摘要
目的观察 Meek 微型皮片移植技术在烧伤外科临床应用的效果,并探讨其临床使用的价值及前景。方法对住院治疗的32例大面积深度烧伤早期切削痂后的创面,采用 Meek 植皮技术,部分病例结合传统小邮票皮片(0.5 cm ×0.5 cm,间隔0.7 cm～1.2 cm)、大张网状皮片及微粒皮移植修复创面。在同时采用小邮票移植术且植皮面积几乎与 Meek 微型皮片移植面积相等的10例进行对比观察,内容包括两种方法的操作时间、所需人员、供皮用量等。结果已制作好的 Meek 微型皮片与传统邮票皮片移植几乎同样大小的创面,两种方法在操作时间、所需人数、供皮量均有统计学意义(P<0.01)。Meek 微型皮片移植方法较传统邮票皮片手术操作时间缩短约80%,参加操作的手术人员减少2～3名,节省皮源约60%。两种皮片的移植方法成活率无明显差别。术后随访3个月～6个月,Meek微型皮片与传统邮票皮片移植后其瘢痕增生程度亦无明显差别。结论对于大面积深度烧伤,不妨采用 Meek 微型皮片移植技术。该技术相对传统小邮票皮片移植而言,具有简化手术操作,缩短手术时间,减少手术人员,以及节省皮源等优点,值得临床采用尤其值得在基层医院推广应用。
Objective observe the effect of clinical application of Meek minisize skin-piece transplanting on burning surgery, discuss the value and foreground of clinical application. Methods 32 patients with large acreage deep burning were admission to hospital, adopt Meek skin-piece making micro skin-piece transplanting to wound after early cutting, part patients＇ wounds were restored by combining traditional small stamp skin-piece （0.5 cm × 0. 5 cm, space： 0. 7 cm - 1.2 cm） big-area net skin-piece and particulate skin transplanting. Observe and compare 10 patients who were treated with small stamp transplanting but the acreage were almost same, the content included operation times, personnel and skin dosages of two methods. Results The Meek micro skin-piece transplanting method almost has same size wound with traditional stamp dermatome transplanting. The time, personnel and skin dosage needed by the operation of two methods had statistics meaning （P 〈 0.01 ）, and the operation time was shorted for 80% , reduced 2 - 3 personnel and saved 60% skin source. The survival ratio of two methods has no obvious difference. Follow up 3 to 6 months after operation, the scar hyperplasia degree of Meek micro skin-piece has no obvious difference with traditional stamp skin-piece. Conclusions For large acreage deep burning, Meek skin-piece making micro skin-piece transplanting technique is considerable. Compare to traditional stamp skin-piece transplanting, this technique has the advantages of easy operation, short operation time, less operating personnel and skin saving, which is deserved to be adopted by clinic especially popularized and applied by base hospital.
出处
《中华损伤与修复杂志（电子版）》
CAS
2007年第1期14-16,共3页
Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)
