中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (18): 3405-3407.doi: 10.3969/j.issn.1673-8225.2011.18.043

• 器官移植临床实践 clinical practice of organ transplantation • 上一篇    下一篇

Meek微型皮片移植修复大面积深度烧伤

胡卫东1，黄爱平1，谢茜宇1，周  荣1，李跃程1，曾元临2   

  1. 1江西新余钢铁集团有限公司中心医院烧伤科，江西省新余市    338001
    2南昌大学第一附属医院烧伤中心，江西省南昌市   330000
  • 收稿日期:2010-11-04 修回日期:2011-02-15 出版日期:2011-04-30 发布日期:2011-04-30
  • 通讯作者: 曾元临，硕士，主任医师，南昌大学第一附属医院烧伤中心，江西省南昌市 330000
  • 作者简介:胡卫东，男， 1976年生，江西省新余市人，汉族，1996年江西医学院毕业，主治医师，主要从事烧伤治疗工作。 huweidongjx@sina.com

Meek micrograft technique for extensive deep burns

Hu Wei-dong1, Huang Ai-ping1, Xie Xi-yu1, Zhou Rong1, Li Yue-cheng1, Zeng Yuan-lin2   

  1. 1Department of Burn, Central Hospital, Xinyu Iron & Steel Group Co., Ltd., Xinyu  338001, Jiangxi Province, China
    2Burn Center, First Affiliated Hospital of Nanchang University, Nanchang  330000, Jiangxi Province, China
  • Received:2010-11-04 Revised:2011-02-15 Online:2011-04-30 Published:2011-04-30
  • Contact: Zeng Yuan-lin, Master, Chief physician, Burn Center, First Affiliated Hospital of Nanchang University, Nanchang 330000, Jiangxi Province, China
  • About author:Hu Wei-dong, Attending physician, Department of Burn, Central Hospital, Xinyu Iron & Steel Group Co., Ltd., Xinyu 338001, Jiangxi Province, China huweidongjx@sina.com

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摘要：

背景：Meek植皮法是近5年来引进并陆续在国内多家医院采用的一项创面修复的新技术。
目的：观察Meek微型皮片移植修复在大面积深度烧伤患者皮肤缺损的效果。
方法：对16例大面积深度烧伤创面患者，采用早期切(削)痂后及晚期肉芽创面Meek植皮法植皮，其中6例选取Ⅲ度烧伤面积30%左右患者同一个体行相同面积Meek微型皮片植皮法，和自体小邮票植皮作为对照。
结果与结论：采用Meek微型皮片植皮法皮片成活率65%~95%，创面愈合时间21~65 d。Meek微型皮片与自体邮票植皮相比缩短了手术时间，节省了皮源，创面愈合后瘢痕平整，挛缩率低，关节功能恢复良好。

关键词: 深度烧伤, Meek植皮法, 微型皮片, 创面愈合, 组织工程, 治疗

Abstract:

BACKGROUND: The Meek technique of skin expansion is a novel method for wound healing, which has been introduced to many domestic hospitals in the past 5 years.
OBJECTIVE: To investigate the clinical effect of Meek micrograft in treating extensive deep burns.
METHODS: Sixteen cases of extensive deep burns were treated with Meek micrograft technique after early tangential excision, escharectomy, or granulation tissue formation. Meek autografts with expansion ratio of 1:4 was placed on joint position. Besides, expansion ratio of 1:4 or 1:6 was chosen according to size of wound and donor site. As comparison, stamp-like grafts were used in different places of the same bodies in 6 cases with 30% TBSA burns. Scarring proliferation situation was evaluated.
RESULTS AND CONCLUSION: In Meek skin graft group, skin graft survival rate was 65% to 95%; healing time was 21 to 65 days, averaged 35 days. Scar hyperplasia showed light and less contraction. Joint function was satisfied. The results show that Meek technique skin graft has good effect and worth to popularizing in treating extensive burns with the advantages of simple, time saving, high survival rate of skin graft, short time of epithelialization, less scar, and better joint function.

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