异体脱细胞真皮加自体刃厚皮复合移植在深度烧伤创面修复中的应用

目的探讨异体脱细胞真皮加自体刃厚皮多种复合方式移植修复深度烧伤创面的临床应用。方法对2003年以来我科用异体脱细胞真皮加自体刃厚皮多种复合方式移植修复63例深度烧伤创面的疗效观察。63例中，深Ⅱ度烧伤瘢痕37例，Ⅲ度烧伤功能部位创面26例，均为一次手术完成；其中49例为异体脱细胞真皮加大张刃厚皮移植，7例为异体脱细胞真皮加自体刃厚皮小皮片移植，7例为异体脱细胞真皮加网状皮片移植。结果63例中术后复合皮全部成活，愈后植皮区及供皮区瘢痕增生不明显，功能恢复较好，色素沉着较轻，外观满意。结论异体脱细胞真皮加自体刃厚皮多种方式复合移植修复深度烧伤创面是一种较好治疗方法。

The clinical application of the repair of burn wound with acellular allogenic dermis matrix with split-thickness autologous skin graft

Objective To approach the clinical applieation of burn wound with composite transplanta-tion of acellular dermal matrix with split-thickness autologous skin graft. Methods A clinical observation in 63 patients who had been treated by acellular allogenic dermis matrix with split-thickness autologous skin graft from 2003 in our division. In the peases, 37 cases are burn scars and 26 cases are function site full thickness skin burn wound. THe repair of wound by one time operation only.In this cases, acellular dermal matrix with split-thickness autologous skin grafting are 49, with snip skin grafting are 7, and with mesh skin grafting are 7.Results The composite skin survived after all in 63 examples.Skin grafting and donor site scars proliferation were not obvious after aeerte function rebound satisfaction pigmenatation appearaneed less.Patients feel satisfaction at appoaran ce. Con-clusion The repair of bum wound with cellular allogenic dermis with split-thickness autologous skin graft is a good treatment.