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脱细胞异体真皮与自体表皮复合移植修复创面
引用本文:唐庆,苏爱云,程钢,刘祥厦,张毅,庞水发. 脱细胞异体真皮与自体表皮复合移植修复创面[J]. 中国修复重建外科杂志, 2003, 17(3): 237-239
作者姓名:唐庆  苏爱云  程钢  刘祥厦  张毅  庞水发
作者单位:中山大学附属第一医院整形修复外科,广州,510080
摘    要:目的 研究应用脱细胞异体真皮与自体表皮复合移植修复创面的临床效果。 方法  2 0 0 0年 7月~2 0 0 2年 8月 ,应用脱细胞异体真皮与自体表皮构成的复合皮对 34例头颈、躯干及四肢等部位的创面进行修复 ,创面最小5 cm× 10 cm,最大 12 cm× 19cm,其中陈旧性肉芽创面 2例 ,巨大色素痣切除创面 4例 ,皮肤广泛毛细血管瘤切除后创面 6例 ,瘢痕切除后创面 2 2例。观察移植皮片的成活率及愈后皮片色泽、功能情况。 结果 临床应用 34例 ,术后移植复合皮全部成活 ,30例获 3个月~ 2年随访 ,移植皮片颜色与周围正常肤色接近 ,皮片柔软 ,瘢痕增生不明显 ,功能改善显著。 结论 脱细胞异体真皮与自体表皮复合移植较单纯自体表皮移植后 ,皮片质量及关节部位功能上均有明显改善 ,尤其适合于四肢创面修复。

关 键 词:脱细胞异体真皮 自体表皮 复合移植 修复 创面
修稿时间:2002-12-31

CLINICAL APPLICATION OF ACELLULAR ALLOGENIC DERMIS WITH AUTOGENOUS EPITHELIUM IN WOUND REPAIR
TANG Qing,SU Ai-yun,CHENG Gang,et al.. CLINICAL APPLICATION OF ACELLULAR ALLOGENIC DERMIS WITH AUTOGENOUS EPITHELIUM IN WOUND REPAIR[J]. Chinese journal of reparative and reconstructive surgery, 2003, 17(3): 237-239
Authors:TANG Qing  SU Ai-yun  CHENG Gang  et al.
Affiliation:Department of Plastic and Reconstructive Surgery, First Affiliated Hospital, Sun Yat-sen University, Guangzhou Guangdong, P.R. China 510080.
Abstract:OBJECTIVE: To observe the clinical effect of acellular allogenic dermis with split-thickness autogenous skin graft for coverage of wound. METHODS: Acellular allogenic dermis with split-thickness autogenous skin graft was used to repair 34 wounds of head, neck, trunk and extremities. The area of wounds was from 5 cm x 10 cm to 12 cm x 19 cm. Out of 34 wounds, there were 2 due to old granulation, 4 due to excision of giant pigmented nevus, 6 due to excision of capillary hemangioma of skin and 22 due to excision of scar. RESULTS: All grafts survived and had the smooth surface without obvious pigmentation and with slight wound contraction. CONCLUSION: Acellular allogenic dermis with autologous epithelium for coverage of various wounds is an ideal procedure.
Keywords:Acellular allogenic dermis Autogenous skin Composite Wound Repair
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