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创伤性皮肤缺损延期植皮最佳植皮时机的实验研究 被引量:8

Experimental study on optimal operation opportunity of delayed skin transplantation for traumatic skin damage
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摘要 目的:明确创伤性皮肤缺损施行延期植皮术的最佳手术植皮时机。方法:用计算机全自动图象分析系统准确计算出各组的皮片成活率;用免疫组织化学SABC法显示皮片中(VECF进行染色)微血管,进行微血管定量分析。结果:创伤后1天、2天、3天、5天、7天、9天,分别对创伤性皮肤缺损区施行植皮术,发现不同时机植皮皮片的成活率不同(p<0.05)。免疫组化染色发现VEGF主要分布在微血管周围,微血管被染成棕色,切片背景清晰。造成创伤性皮肤缺损后3天,对皮肤缺损区植皮,皮片成活率最高,皮片中微血管密度也最高(p<0.01)。结论:造成皮肤缺损后第3天是对创面施行延期植皮术的最好时机。 objective: To define the optimal operation opportunity of the delayed skin transplantation for traumatic skin damage . Method: The survival rates of all the skin grafts were accurately calculated by the image analysis system of computer and micro - vessels in the grafts were stained by immuno - histochemical technique. Result: The survival rates of different experimental groups differed greatly and microvessel density in different experimental groups were also different. Conclusion: The optimal oper- ation opportunity of the delayed skin transplantation is 3 days after traumatic skin damage.
出处 《中国烧伤创疡杂志》 2003年第1期70-72,共3页 The Chinese Journal of Burns Wounds & Surface Ulcers
关键词 延期植皮 皮肤缺损 手术时机 Delayed skin transplantation Skin damage Operation opportunity
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参考文献4

  • 1[1]BarkerJH,FrankJ.An animal model to study microcirculatory changes associated with wascular delay.Br J plast surg 1999 Mar,52(2):133-142.
  • 2[2]Coldiron BM,Rivera E.Delayed full-thickness grafting of lower leg defects following removal of skin malignancies.Dermatol surg 1996 Jan,22(1);23-26.
  • 3[3]Charles FT.Delayed skin graft application followeing burn scar release of the face and hand.Annals of plast.surg 1983,10(5):349.
  • 4[4]Thibault MJ,BennettRG.Success of delayed full-thickness skin grafts after Mohs micrographic suegery.Jam Acad dermatol 1995 Jun,32(6):1004-1009.

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