Comparative study on the repairing effect of stamp skin and meek skin on wounds in patients with extensive burns
10.3760/cma.j.cn431274-20190924-01107
- VernacularTitle:邮票皮、Meek皮在大面积烧伤患者创面修复作用中的对比
- Author:
Bichuan JIANG
1
;
You GAO
;
Zhiqian GUO
;
Xinhe ZHANG
Author Information
1. 福建医科大学附属厦门弘爱医院整形与烧伤外科，厦门 361000
- From:
Journal of Chinese Physician
2020;22(10):1533-1536
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the difference in the therapeutic effect of stamp skin and meek skin on wound repair in patients with extensive burns.Methods:A total of 81 patients with extensive burn from March 2016 to February 2018 in 73th Army Hospital of PLA were selected and divided into group A (stamp skin grafting, 35 cases) and group B (meek skin grafting, 46 cases) according to the choice of wound repair methods before operation. The survival and healing conditions, treatment costs, mortality and rehabilitation of the two groups were compared.Results:There was no significant difference in the survival rate, wound healing rate and mortality between group A and group B (82.86% vs 86.96%, 5.71% vs 8.70%, P>0.05). The survival rate of skin graft in group A was higher than that in group B, and the wound healing time and treatment cost of 1% total body surface area (TBSA) in group A were lower than those in group B [(76.3±5.1)% vs (67.9±6.2)%, (41.5±4.9)d vs (45.8±5.1)d, (1 215.6±235.1)yuan vs (7 689.5±681.0)yuan, P<0.05]. The excellent and good rate of rehabilitation in group A was significantly lower than that in group B (68.57% vs 86.96%, P<0.05). Conclusions:The application of the stamp skin in the repair of wounds in large-area burn patients has a higher flap survival rate than meek skin repair, which can shorten the healing time of the flap and reduce the treatment cost, but the rehabilitation effect is poor.
