Clinical Experience of Large Medium-thick Skin Grafting for Granulation Wound after Facial Burns_West China Medical Journal

Authors：

TIAN Xiaodong , LI Fengming , LI Denglun , CHEN Baoguo , HAN Bo , SONG Rongjian.

Department of Burns and Plastic Surgery, Panzhihua General Hospital of Sichuan Panzhihua Iron and Steel Group, Panzhihua, Sichuan 617023, P. R. China;

Corresponding?author：

Keywords：

燒傷; 面部; 肉芽; 植皮

DOI：

10.7507/1002-0179.20130257

Video：

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目的　探討面部燒傷后肉芽創面移植自體大張中厚皮的可行性。方法　回顧性分析2002年1月－2012年4月收治的27例面部燒傷后肉芽創面進行自體大張中厚皮移植手術患者的臨床資料。術中用手術刀刮除肉芽組織至基底層，用取皮鼓或電動取皮刀取患者大腿或者腹部大張中厚皮，移植于受皮區，術后5 d左右打開敷料半暴露或暴露。結果　27例手術患者中24例大張中厚皮全部成活，3例大部分成活，再次補植皮后愈合。患者創面愈合后外形豐滿，皮膚彈性較好，表情豐富。20例隨訪1～5年，患者面部外觀良好，2例發生小口畸形，2例眼瞼輕中度外翻，分別行整形手術后改善。結論　面部燒傷后肉芽創面移植大張中厚皮可獲得較滿意的治療效果，可在臨床推廣使用。

Citation： TIAN Xiaodong,LI Fengming,LI Denglun,CHEN Baoguo,HAN Bo,SONG Rongjian.. Clinical Experience of Large Medium-thick Skin Grafting for Granulation Wound after Facial Burns. West China Medical Journal, 2013, 28(6): 821-822. doi: 10.7507/1002-0179.20130257 Copy

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West China Medical Journal

Clinical Experience of Large Medium-thick Skin Grafting for Granulation Wound after Facial Burns

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