早期削痂复合皮混合移植治疗颜面部深度烧伤

 【目的】探讨颜面部深度烧伤创面早期削痂复合皮混合移植的治疗方法及效果。【方法】对19例颜面部深度烧伤患者在伤后1d内行削痂术，同时一期混合移植异体脱细胞真皮基质和大张自体刃厚皮片。术后10～12d打开敷料．观察植皮效果，随访3月～24月。【结果】本组患者复合皮移植成活率90％，少部分移植的表皮出现水疱，经水胶体敷料覆盖3～5d后即可愈合。随访移植后面部皮肤外观丰满，弹性好，表情丰富，远期效果满意。【结论】面部深度烧伤创面早期削痂复合皮混合移植可以取得满意效果。

Result of Repair of Deep Facial Burn Wounds with the Mixed Composite Skin Graft after Escharectomy Early

Objective To observe the result of repair of deep facial burn wounds with the mixed composite skin graft after escharectomy early.Method Nineteen cases of deep facial burn were carried out operation of escharectomy and composite skin grafting within 1 days postburn days(PBDs).10 to 12 days later the dressing was changed for the first time.The patients were followed-up from 3 months to 2 years.Results Survival rate of grafted composite skin is 90%,blister emerged on little portion of grafted composite skin in some patient and healed up quickly after 3 to 5 days treatment of hydrocolloid dressing.Three months to two years follow up found the appearance,function and elasticity of the suffered face was satisfying.Conclusion The method of escharectomy and composite skin grafting in early stage in deep facial burn patient is effortful and a good choice.