[The clinical application on composite graft of acellular allo-dermal matrix and auto-microskin on escharectomy after deep burns].
Zhonghua Wai Ke Za Zhi
; 42(7): 410-2, 2004 Apr 07.
Article
em Zh
| MEDLINE
| ID: mdl-15144668
ABSTRACT
OBJECTIVE:
To present the clinical application of composite graft of acellular allo-dermis matrix (ADM) with thin auto-microskin on burn wound.METHODS:
8 inpatients with 18 full thickness skin burn wounds were transplanted with allo-ADM after eschar was excised, then the auto-microskin and allo-human skin were covered on the area of the matrix, the wound where no allo-ADM grafting were covered as control groups only with auto-microskin and allo-human skin. The area of donor to wound is 15 - 18.RESULTS:
Survived rate of 18 pieces composite skin that allo-ADM with auto-microskin were grafted were 94%. After following up for 3 to 13 months, the skins of complex grifting had well elastic and smooth texture compared to auto-microskin grafted, they appeared less cicatrisation and ulceration. 3 months after operation, it was indicated by histological examination that tightknit the epithelial-dermal conjunction and epidermal papilla structure could be identified in the allo-ADM skin and there were orderly collagenous fibres, but scar skin structure was observed in that auto-microskin grifted area.CONCLUSION:
The graft effectiveness of allo-ADM and auto-microskin was better than that of auto-microskin, and this method could be used on major deep burn wound healing.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Queimaduras
/
Transplante de Pele
Tipo de estudo:
Clinical_trials
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Zh
Revista:
Zhonghua Wai Ke Za Zhi
Ano de publicação:
2004
Tipo de documento:
Article
País de afiliação:
China