磨削术联合自体韧厚皮片移植治疗重度烧伤色素脱失性瘢痕

Clinical Study on the Treatment of Depigmentation Scar after Severe Burn with Grinding and Autotransplantation of Thick and Tough Skin

目的:探讨磨削术+自体韧厚皮片移植治疗重度烧伤后色素脱失瘢痕的临床疗效。方法:选取笔者医院2015年6月-2018年6月收治的重度烧伤后色素脱失瘢痕患者70例作为研究对象,按照随机数表法分为对照组(n=35)和研究组(n=35)。对照组给予磨削术+自体水疱皮移植治疗,研究组给予磨削术+自体韧厚皮片移植治疗。观察两组患者的效果评分、临床疗效、愈合时间及治疗时间、生活质量评分。结果:研究组的效果评分、临床疗效、生活质量评分均明显高于对照组,差异有统计学意义(P<0.05);研究组的愈合时间以及治疗时间明显少于对照组,差异有统计学意义(P<0.05)。结论:磨削术+自体韧厚皮片移植治疗重度烧伤后色素脱失瘢痕临床疗效显著,对患者的生活质量具有积极影响,临床价值突出,值得在临床上进一步推广应用。

Objective To explore the clinical effect of grinding and autotransplantation of thick and tough skin in the treatment of depigmentation scar after severe burn.Methods 70 patients with depigmentation scar after severe burn admitted to our hospital from June 2015 to June 2018 were selected as research objects.According to the random number table,they were divided into the control group (n=35) and the study group (n=35).The control group was treated with grinding and self bullous shin grafting.The study group was treated with grinding and autotransplantation of thick and tough skin.The effect score,clinical effect,healing time,treatment time and quality of life of the two groups were observed.Results The scores of effect,clinical effect and quality of life in the study group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).The healing time and treatment time of the study group were significantly shorter than those of the control group(P<0.05).Conclusion The clinical effect of grinding and autotransplantation of thick and tough skin in the treatment of depigmentation scar after severe burn is significant,which has a positive impact on the quality of life of patients,and has outstanding clinical value,which is worthy of further clinical application.