深Ⅲ度烧伤应用湿润烧伤膏培养肉芽后植皮的疗效观察

目的:为了使深Ⅲ度烧伤愈合后更美观,更接近正常皮肤组织结构。方法:我们将深Ⅲ度烧伤应用浅削法去除坏死组织,烧伤膏培养肉芽后行大张中厚皮移植,与早期切痂大张中厚皮移植进行对照研究远期效果。结果:两组经半年、1年的随访,培养肉芽植皮组患者对丰满度的满意程度、皮肤弹性、皮肤柔软度及功能方面明显比早期切痂植皮组效果佳(P<0．05)。皮肤颜色两组比较无显著性差异(P>0．05)。培养肉芽植皮组病程长、费用高(P<0．01)。结论:深Ⅲ度烧伤应用烧伤膏培养肉芽后植皮远期疗效在丰满度,皮肤弹性、皮肤柔软度、功能方面达到良好的效果。对于经济条件佳,对愈合要求美观的患者可做为有效的治疗方法。

The efficacy of skin grafting of deep third degree burn wounds after cultivating granulation with MEBO

Objective: To find a method for repairing deep 3rd degree burn wound to achieve good appearance and normal histological structure of the skin after wound healing. Method: Necrotic tissue was removed from the wound and MEBO was applied to cultivate granulation . After granulation formed, large intermediate split thickness skin grafting was performed. The efficacy of this operation was compared with that of the skin grafting performed at the early stage by removing the eschar, before granulation formation. Result: Patients were followed up for six months and one year. The wounds received skin grafting after granulation formation had good skin elasticity and were full and round in appearance. The skin was soft and had good function. This was superior to those received skin grafting before granulation formation. Conclusion: To perform skin grafting after cultivating granulation with MEBO, deep 3rd degree burn wounds can be repaired with good appearance, good skin elasticity and good function.