自体微粒皮移植减轻中厚供皮区瘢痕增生的临床研究

Clinical study on the effects of microskin autograft in decreasing scar hypertrophy in donor site

  • 摘要: 目的:寻找有效控制供皮区皮肤瘢痕的新方法。方法:将中厚皮供区创面分成两个区域,一处移植微粒皮,另一处覆盖油纱,观察中厚皮供区愈合后的瘢痕生成情况。结果:无论从瘢痕的充血、质地、隆起及瘙痒程度四方面,还是从胶原纤维和毛细血管的镜下特点看,微粒组均优于油纱组。结论:自体微粒皮移植能有效减轻中厚皮供区的瘢痕形成。不仅适合于中厚皮供区,还适合于深Ⅱ度烧伤削痂后创面。

     

    Abstract: Objective: To explore a new method aimed at effectively controlling the scar hypertrophy. Methods: 10 patients undergoing split-thickness skin grafting were randomly selected for the study.Each skin donor site wound received two treatments, one area grafted with microskin (M group) and another adjacent area covered with vaseline gauze (V group).The scores of pruritus of scar was evaluated.Skin biopsies were also collected, routine pathological examination and special staining for collagen fiber were performed. Results: Satisfying improvements were achieved in M group compared with V group in the color, texture, thickness and scores of pruritus of scar, and the distribution of capillary and collagen fiber in M group were also better than V group. Conclusion: Microskin grafting, significantly decreasing scar hypertrophy, could be applied not only to the split-thickness skin donor site, but also to deep partial-thickness burn wound.

     

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