摘要
目的探讨手部深度组织损伤(特别是热压伤)使用人工真皮(皮耐克)结合自体皮覆盖的治疗效果。方法回顾分析两组手部热压伤病例的手术治疗效果;A组:皮耐克修复组,2例,采用皮耐克(双层结构人工皮肤)与自体刃厚皮片复合移植。B组:传统术式治疗组,10例,采用包含真皮层的中厚植皮或皮瓣修复。对比评估两组手部植皮区存活皮片外观,随访近期、远期手部功能恢复情况,供皮区愈合情况、色素、疤痕生长情况。结果两组病例手部植皮区存活皮片均外观好,功能佳,与B组相比,A组病人创面愈合时间短,取皮区只有轻微色素沉淀,无明显疤痕形成。结论采用皮耐克与自身刃厚皮片复合移植治疗手部热压伤,既有利于创面愈合又对供皮区影响小并有益手部功能的重建。
Objective To evaluate the clinical results of patients with deep injury especially hotpress injury in the hands managed by auto-skin grafting with PELNAC. Methods Two groups of patients with hot-press injury in hands were included in this clinical retrospective study. The patients in group A （2 cases） were treated by blade thick auto-skin grafting with the subjacent PELNAC（ artificial skin with two layer structure）. The patients in group B were repaired with traditional thick split skin grafting or skin flaps coverage. The appearance and the scar formation of the skin grafting area of the injured hands were evaluaed in short and long term after the operation, and so were that in the skin donor sites. Results There was no difference in terms of the contour and function in the injured hands between the two groups after the operation. In addition, the wound healed in shorter time in group A than that in group B. And there was no bovious scar formation with slight pigmentation in the repaired area in group A. Conclusion Repairing of hotpress injured hands with auto-skin grafting and PELNAC was beneficial to both wound healing and donor site, which was also helpful to the reconstruction of the hand function.
出处
《中华损伤与修复杂志（电子版）》
CAS
2008年第4期30-32,共3页
Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)
关键词
手
热压伤
皮耐克
自体刃厚皮
Hand
Hot-press injury
PELNAC
Blade thick auto-skin
