Repair of deep burn in function regions with large sheet of split-thickness auto-skin grafting and the preservation of denatured dermis during eschar shaving in 58 cases
- VernacularTitle:功能部位深度烧伤削痂时保留变性真皮并移植大张自体皮58例
- Author:
Shuwen ZOU
- Publication Type:Journal Article
- From:
Chinese Journal of Tissue Engineering Research
2007;0(05):-
- CountryChina
- Language:Chinese
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Abstract:
BACKGROUND: There was degeneration in the dermis only,but not necrosis completely after deep burn or mixed Degree Burns. After treatment with auto-skin grafting,the denatured dermis will recover to normal or close to normal morphology and structure. OBJECTIVE: To comparatively analyze the long-term effect of repair of deeply burned in function regions with large sheet of split-thickness auto-skin grafting with the preservation of denatured dermis or not during eschar shaving. DESIGN,TIME AND SETTING: A case analysis was performed in Department of Burnt Surgery of Dongguan Qingxi Hospital from March 2006 to June 2008. PATICIPANTS: Fifty-eight patients with deep burn in function regions were randomly divided into three groups according to different therapy ways. METHODS: The denatured dermis of patients in derma excised group was cut completely during eschar shaving and large sheet of split-thickness auto-skin was transplanted. The necrotic crust was cleared away with pare scab or scrape scabby method and reserved the denatured derma in derma reserved group. The patients who did not agree to operating skin transplanted on clinic served as control group,and they were treated with dressing change means till wound healing. MAIN OUTCOME MEASURES: Comparison of the bleeding volume in operation and scar proliferation after operating among the three groups,and evaluation the grade of the function. RESULTS: The bleeding volume in derma reserved group was less than that in dermis excised group during the operation. The survival rate of grafting skin in derma reserved group was lower than that in derma excised group. The shrinkage of grafting skin in derma excised group was more obvious than that in derma reserved group,and the long-term function would be worse than that in derma reserved group. The scar proliferation in control group was most obvious and the recovery of function was worst among the three groups. CONCLUSION: The good show and function was obtained to recovery of deep burn in function regions with large sheet of split-thickness auto-skin grafting and the preservation of denatured dermis during eschar shaving.
