皮耐克和自体断层皮复合修复深部组织暴露创面的临床效果观察
|
摘要
目的探讨皮耐克和自体断层皮复合修复深部组织暴露创面的临床效果。方法选取该院2013-05~2016-05收治的深部组织暴露创面患者100例,按照随机数字表法分为对照组和观察组,每组50例。对照组采用常规二期植皮修复治疗,观察组采用皮耐克与自体断层皮复合修复治疗。观察两组临床疗效。结果治疗后,观察组治愈26例,好转16例,无效8例,治疗总有效率为84.00%,对照组治愈12例,好转15例,无效23例,治疗总有效率为54.00%。两组临床疗效比较差异有统计学意义(P<0.05)。结论皮耐克和自体断层皮复合修复深部组织暴露创面的临床效果显著,优于常规二期植皮修复治疗,是一种安全、有效的深部组织暴露创面修复方法。
Objective To explore the effect of skin Nike and autologous skin on repairing deep tissue exposed wounds. Methods One hundred patients with deep tissue exposed wounds from May 2013 to May 2016 in our hospital were randomly divided into the control group and the observation group,with 50 cases in each group. The control group was treated with the conventional second-stage skin grafting,and the observation group was treated with absorbable dressing(skin Nike) and autologous skin graft. The clinical effects were compared between the two groups. Results After the treatment,the observation group was cured in 26 cases,improved in 16 cases,ineffective in 8 cases,and the total effective rate was 84. 00%. The control group was cured in 12 cases,improved in 15 cases,ineffective in 23 cases,and the total effective rate was 54. 00%. There was significant difference in the clinical effect between the two groups(P < 0. 05). Conclusion The clinical effect of skin Nike and autologous skin graft on repairing deep tissue exposed wounds is significant,which is more safe and effective than the conventional second-stage skin grafting.
Objective To explore the effect of skin Nike and autologous skin on repairing deep tissue exposed wounds. Methods One hundred patients with deep tissue exposed wounds from May 2013 to May 2016 in our hospital were randomly divided into the control group and the observation group,with 50 cases in each group. The control group was treated with the conventional second-stage skin grafting,and the observation group was treated with absorbable dressing(skin Nike) and autologous skin graft. The clinical effects were compared between the two groups. Results After the treatment,the observation group was cured in 26 cases,improved in 16 cases,ineffective in 8 cases,and the total effective rate was 84. 00%. The control group was cured in 12 cases,improved in 15 cases,ineffective in 23 cases,and the total effective rate was 54. 00%. There was significant difference in the clinical effect between the two groups(P < 0. 05). Conclusion The clinical effect of skin Nike and autologous skin graft on repairing deep tissue exposed wounds is significant,which is more safe and effective than the conventional second-stage skin grafting.
引文
1沈余明.复杂性创面的修复与功能重建[J].中华损伤与修复杂志(电子版),2015,10(1):9-12.
2 陈杏晔,李凡,刘爱军.皮耐克组织工程皮肤修复皮肤创面的研究[J].广州中医药大学学报,2015,32(3):529-532,580.
3 林伟华,李叶扬,胡晓,等.人工真皮在烧伤和整形外科的临床应用[J].分子影像学杂志,2014,37(3):169-170.
4 邓志云,何效东,崔泉,等.人工真皮填充结合负压引流修复老年皮肤恶性肿瘤术后深度创面[J].中南大学学报(医学版),2015,40(5):539-542.
5 杨华莲,刘攀,丁华荣,等.人工真皮联合自体薄层皮片移植修复难愈性创面的疗效观察[J].中国临床新医学,2014,7(5):424-428.
6 肖亮,贺光照.人工真皮联合自体皮片游离植皮术修复小儿大腿皮肤完全撕脱1例[J].中外医学研究,2012,10(12):153-155.
7 肖云,王惠平,何爱咏,等.VSD、皮耐克、自体皮移植序贯法修复皮肤软组织缺损的围手术期处理[J].中国现代手术学杂志,2012,16(5):373-375.
8 向小燕,周国富,王珺,等.皮能快愈敷料在整形手术创面修复中的应用[J].华西医学,2013,28(6):818-820.
9 贺万强,颜娟,刘君,等.人工真皮与自体皮复合移植修复头部皮肤癌术后颅骨外露[J].华西医学,2013,28(10):1489-1490.
10 白宇,吴颖洁.人工真皮治疗四肢骨肌腱外露创面的临床疗效[J].实用骨科杂志,2016,22(6):571-573.
2 陈杏晔,李凡,刘爱军.皮耐克组织工程皮肤修复皮肤创面的研究[J].广州中医药大学学报,2015,32(3):529-532,580.
3 林伟华,李叶扬,胡晓,等.人工真皮在烧伤和整形外科的临床应用[J].分子影像学杂志,2014,37(3):169-170.
4 邓志云,何效东,崔泉,等.人工真皮填充结合负压引流修复老年皮肤恶性肿瘤术后深度创面[J].中南大学学报(医学版),2015,40(5):539-542.
5 杨华莲,刘攀,丁华荣,等.人工真皮联合自体薄层皮片移植修复难愈性创面的疗效观察[J].中国临床新医学,2014,7(5):424-428.
6 肖亮,贺光照.人工真皮联合自体皮片游离植皮术修复小儿大腿皮肤完全撕脱1例[J].中外医学研究,2012,10(12):153-155.
7 肖云,王惠平,何爱咏,等.VSD、皮耐克、自体皮移植序贯法修复皮肤软组织缺损的围手术期处理[J].中国现代手术学杂志,2012,16(5):373-375.
8 向小燕,周国富,王珺,等.皮能快愈敷料在整形手术创面修复中的应用[J].华西医学,2013,28(6):818-820.
9 贺万强,颜娟,刘君,等.人工真皮与自体皮复合移植修复头部皮肤癌术后颅骨外露[J].华西医学,2013,28(10):1489-1490.
10 白宇,吴颖洁.人工真皮治疗四肢骨肌腱外露创面的临床疗效[J].实用骨科杂志,2016,22(6):571-573.