脱细胞异体真皮与自体刃厚皮复合移植的手术配合

目的探讨脱细胞异体真皮与自体刃厚皮复合移植的手术配合方法。方法对167例脱细胞异体真皮与自体刃厚皮复合移植手术患者的术前、术中、术后的资料进行总结并作回顾性分析。结果167例均顺利完成手术,其中瘢痕切除植皮者成活率为97.8%±1.4%,烧伤创面及糖尿病足创面成活率为92.6%±4.6%,术后无并发症。结论充分做好术前准备,术中妥善保管脱细胞异体真皮、正确固定复合皮片、熟练做好术中配合是手术成功的关键。

OPERATIONAL COLLABORATION ABOUT COMPOSITE GRAFT OF ACELLULAR ALLODERMIS MATRIX WITH AUTOLOGOUS SHARP-THICKNESS SKIN

Objective To present the method of operation about composite graft of acellular allodermis matrix with autologous sharp-thickness skin. Methods Perioperation datum about 167 patients who received composite graft of acellular allodermis matrix with autologous sharp-thickness were analyzed. Results All patients' operations were successful and no complication happened; survival rate of skin graft after scar ectomy was 97.8±1.4%; survival rate of skin graft of burn wound and diabetes foot was 92.6±4.6%. Conclusion Successful operation is due to better preparations before operation, good administration of acellular allodermis matrix and firm fixation of composite skin graft and skillful collaboration during the operation.