脱细胞异体真皮的临床应用

The Clinical Application of Acellular Allograft Dermis

目的观察脱细胞异体真皮在小儿整形外科手术中的临床效果。方法在15例外科手术中创面应用脱细胞异体真皮覆盖并加覆自体刃厚皮肤包扎固定。结果15例患儿创面生长良好,11例创面平整,皮片存活有光泽,4例皮片存活但有轻度凹陷。随访3个月、6个月,创面均活动度好,色泽与周围皮肤相似,色素沉着轻。未见瘢痕增生或挛缩。结论脱细胞异体真皮是临床上较好的覆盖与填充材料。

Objective Observation on clinical effects of acellular allograft dermis in pediatric plastic surgery. Methods The acellular allograft dermis was used to repair the surface of various wounds in 15 cases surgical operation. The surface of wounds was covered by acellular allograft dermis plus autologous split-thickness skin, it was bandaging and immobilization finally. Results Growth of wound surface was favorable, surface of wounds in 11 of them was smooth,alived skin plate bright,slight concave in alived skin plate was seen among 4 of them followed up for 3 months,6 month,results finding that the skin area was flexible,their colour and lustre were similar to the circumambient skin,no obvious pigmentation.At the same time,scars hyperplasia or contracture also were no occurred. Conclusions Allular allograft dermis is an ideal coverage and stuffing material in the pediatric plastic surgery.