Meek微型皮片移植修复大面积深度烧伤

背景：Meek植皮法是近5年来引进并陆续在国内多家医院采用的一项创面修复的新技术。目的：观察Meek微型皮片移植修复在大面积深度烧伤患者皮肤缺损的效果。方法：对16例大面积深度烧伤创面患者,采用早期切（削）痂后及晚期肉芽创面Meek植皮法植皮,其中6例选取Ⅲ度烧伤面积30%左右患者同一个体行相同面积Meek微型皮片植皮法,和自体小邮票植皮作为对照。结果与结论：采用Meek微型皮片植皮法皮片成活率65%～95%,创面愈合时间21～65d。Meek微型皮片与自体邮票植皮相比缩短了手术时间,节省了皮源,创面愈合后瘢痕平整,挛缩率低,关节功能恢复良好。

Meek micrograft technique for extensive deep burns

BACKGROUND：The Meek technique of skin expansion is a novel method for wound healing, which has been introduced to many domestic hospitals in the past 5 years. OBJECTIVE：To investigate the clinical effect of Meek micrograft in treating extensive deep burns. METHODS：Sixteen cases of extensive deep burns were treated with Meek micrograft technique after early tangential excision, escharectomy, or granulation tissue formation. Meek autografts with expansion ratio of 1：4 was placed on joint position. Besides, expansion ratio of 1：4 or 1：6 was chosen according to size of wound and donor site. As comparison, stamp-like grafts were used in different places of the same bodies in 6 cases with 30% TBSA burns. Scarring proliferation situation was evaluated. RESULTS AND CONCLUSION：In Meek skin graft group, skin graft survival rate was 65% to 95%; healing time was 21 to 65 days, averaged 35 days. Scar hyperplasia showed light and less contraction. Joint function was satisfied. The results show that Meek technique skin graft has good effect and worth to popularizing in treating extensive burns with the advantages of simple, time saving, high survival rate of skin graft, short time of epithelialization, less scar, and better joint function.