大张自体中厚皮联合MeeK皮片移植修复下肢深度烧伤的效果

Effect of large pieces of autologous split-thickness skin grafting combined with Meek skin grafting on repairing deep burn of lower extremities

目的探讨大张自体中厚皮联合Mee K皮片移植修复下肢深度烧伤的效果。方法分析本院2010年1月~2013年6月烧伤外科收治的48例下肢深度烧伤患者临床资料,依据植皮修复措施不同进行临床分组,对照组18例,观察组30例。结果观察组患者供皮面积、植皮时间、创面愈合时间和皮片的成活率均优于对照组,观察组临床治疗总有效率高于对照组,观察组变态反应和感染的发生率低于对照组,差异有统计学意义（P〈0.05）。结论大张自体中厚皮联合Mee K皮片移植修复下肢深度烧伤临床疗效明显,预后良好,值得临床推广应用。

Objective To explore the effect of large pieces of autologous split-thickness skin grafting combined with MeeK skin grafting on repairing deep bum of lower extremities. Methods Clinical data from 48 patients with deep burn of lower extremities admitted into department of burn surgery in our hospital from January 2010 to June 2013 were analyzed.According to different skin-grafting repair measures,they were divided into control group （n=18） and observation group（n=30）. Results The skin area,skin grafting time,wound healing time,and survival rate of flap in observation group was superior to that of control group respectively.The total clinical therapeutic effective rate of deep burn of lower extremities in observation group was higher in comparison with that in control group.The incidences of allergic reaction and infection in observation group was much lower in comparison with that of control group respectively,with statistical difference （P〈0.05）. Conclusion Large pieces of autologous split-thickness skin grafting combined with MeeK skin grafting can obtain a remarkable effect on repairing deep burn of lower extremities with good prognosis,which is worthy of clinical promotion.