摘要
近数十年来，烧伤医学已取得长足进展。在大面积深度烧伤治疗中，解决自体皮源有限而创面面积较大这一矛盾，是最具挑战性的难题之一。微粒皮移植术为此提供了一个可以选择的方法。自1985年微粒皮移植术应用于临床，迄今已23年，国内已广泛采用，对于治疗大面积深度烧伤，特别是Ⅲ度烧伤面积80％TBSA以上的患者，效果良好。目前该法仍然是修复大面积深度创面的主要手术方法之一，在国外也得到了应用。在较长的应用过程中，人们不断地发现新问题并加以改进。现分为以下几个方面进行探讨。
Since microskin grafting was used in 1985,23 years have passed. Many patients with extensive third degree burns were cured by the technique. Some progresses and further improvements are discussed. （ 1 ） Several kinds of apparatus were devised to cut skin into micrografts with good results. （2） The orientation of each skin granule and even dispersion of micrografts are very important. Some methods to spread micrografts on wound were compared with one another, the technique of flotation in saline and transferring them on silk texture is still the best way. （3） Many outside materials other than silk can be selected, among them the homograft is commonly used, but it has some shortcomings. （4） The technique should be further improved. Stem cell transplantation may be expected as a new way to help heal extensive wounds.
出处
《中华烧伤杂志》
CAS
CSCD
北大核心
2008年第5期343-345,共3页
Chinese Journal of Burns
关键词
烧伤
皮肤移植
微粒皮
Burns
Skin transplantation
Microskin
