Meek微型皮片植皮技术在成批烧伤患者救治中的临床应用

Clinical Application of Meek Skin Grafting in the Treatment of Batch Burns Patients

目的:探讨Meek微型皮片植皮技术在成批烧伤救治中的临床应用。方法:2012年2月-2015年2月,选择笔者单位收治的成批大面积深度烧伤患者64例。其中32例患者创面进行Meek微型皮片移植修复,32例患者创面进行微粒皮移植。比较两组使用自体皮肤面积、手术时间、创面愈合时间、住院时间、术后7d移植皮片成活率及治疗2周创面完全愈合率。结果:Meek植皮组患者使用自体皮肤面积明显小于使用微粒植皮组,术后2周创面愈合率明显高于微粒植皮组,创面愈合时间和住院天数明显短于微粒植皮组,差异有统计学意义(P<0.05);且Meek植皮组患者创面愈合后半年瘢痕增生明显轻于微粒植皮组,差异有统计学意义(P<0.05)。两组移植皮片成活率、手术时间比较差异无统计学意义(P>0.05)。结论:Meek微型皮片移植是成批救治烧伤中较为理想的皮片移植技术,能明显节省自体皮源,且缩短了创面愈合周期及住院天数,提高了创面愈合率,值得在临床上推广应用。

Objective To explore the clinical application of Meek skin grafting in the treatment of batch burns. Methods From February 2012 to February 2015, 64 patients with extensive deep burn were selected from our hospital. Among them, 32 cases were repaired with Meek skin graft and 32 cases were repaired with micro-skin graft. The area of autologous skin, operation time, wound healing time, hospitalization time, survival rate of skin graft 7 days after operation and complete healing rate of wound 2 weeks after treatment were compared between the two groups. Results The area of autologous skin in Meek skin grafting group was significantly smaller than that in micro-skin grafting group, the wound healing rate in 2 weeks after operation was significantly higher than that in micro-skin grafting group, the wound healing time and hospitalization days in Meek skin grafting group were significantly shorter than those in micro-skin grafting group, the differences were statistically significant(P <0.05). The scar hyperplasia in Meek skin grafting group was significantly lighter than that in micro-skin grafting group half a year after wound healing(P <0.05). There was no significant difference in survival rate and operation time between the two groups(P >0.05). Conclusion Meek skin graft is an ideal skin graft technique for mass burn treatment. It can save autologous skin sources, shorten the healing cycle and hospitalization days, and improve the healing rate of wounds. It is worth popularizing and applying in clinic.