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目的探讨保留变性真皮并移植大张自体皮在治疗功能部位深度烧伤方面的应用价值。方法 46例功能部位深度烧伤患者,均在削痂时给予采用保留变性真皮并移植大张自体皮的方式进行治疗,观察疗效。结果本组患者移植皮片均成活,2例患者深度创面有少量出血,平均出血量20 ml。术后全部患者均未见感染症状发生。患者优良率82.6%,患者功能、外形修复情况均良好。结论采用保留变性真皮并移植大张自体皮修复功能部位深度烧伤,可明显提高术后皮片成活率,可有效改善患者患肢功能及外形修复效果,是一种良好的治疗功能部位深度烧伤的方法 ,可临床推广应用。
Objective To investigate the value of preserving the denatured dermis and transplanting the large autologous skin for the treatment of deep burns in functional areas. Methods Forty - six patients with deep burn with functional site were treated with preserving degeneration dermis and transplanting large autologous skin in the process of excision. The curative effect was observed. Results All the skin grafts in this group survived. In 2 cases, there was a small amount of bleeding on the deep wound with an average volume of 20 ml. No postoperative infection occurred in all patients. The excellent and good rate of patients was 82.6%. The patients’ function and shape repair were good. Conclusion The use of preserved degeneration of the dermis and transplantation of large autologous skin repair deep functional burns, can significantly improve the survival rate of postoperative skin graft, which can effectively improve limb function and shape repair effect, is a good treatment of deep burns Methods, clinical application.