无细胞异种真皮基质与自体薄皮片移植9例

Clinical application of meshed acellular dermis xenograft with split thickness skin autograft in 9 cases

以切除瘢痕控制瘢痕增生与组织等寻求良好的覆盖材料。切除瘢痕后 ,移植无细胞异种真皮基质 ,7～10天再植自体薄皮片。使创面无渗血、无感染 ,同时保证术区的制动及固定 ,包扎时有一定的压力。成功率高、无排斥反应、创面愈合平坦、颜色淡红、表面光滑、外观平整、触软、皮肤可捏起、功能良好。

The coverage which can prevent scar formation and fill up scar tissue depression in 9 cases was presented. Scar formation was excised, 7～10d postoperatively the meshed acellular xenograft and split thickness skin autograft was applied. Attention was paid on bleeding, infection, shift and compression. It was proved that the transplantion of acellular allogeneic dermis and split-thickness autologous skin graft resulted in high rate of surviving without signs of rejection. All grafts showed a pink skin color and felt soft and smooth, its function was good. Acellular dermis with split-thickness autologous skin graft is an ideal covering material.