Abstract:

BACKGROUND: It has already become being close to the style restoring classical skill to adopt the method of floating to transplant tautologies micro-skin during the past 30 years, and has got the fine clinical curative effect. But by means of skin pulping auto-epithelium grafting has also got fairly good clinical effect. However, the effect of these two treatment methods of the comparative study has not been reported.
OBJECTIVE: To observe the clinical effects of the skin pulping auto-epithelium grafting and do a compare of clinical effects with the routine skill of antilogous micro-skin floating transplantation.
METHODS: A total of 72 severe burn patients were recruited. In each patient, 2 symmetrical spots of Ⅲ-degree burn post-escharectomy were selected and were divided equally into micro-skin floating group and skin pulping ones. The skin pulping group was transplanted by skin pulping, while the micro-skin floating group by floating. Wound healing rates of every section were analyzed at the end of 3, 4 and 5 weeks after micro-skin transplantation by grid counting. RESULTS AND CONCLUSION: The recovery rates of the first two sections with expansion ratio less than 12.5: 1 were similar at the end of 3, 4 and 5 weeks after transplantation (P > 0.05), but the ones of the later two sections (greater than 12.6: 1) were different, and the micro-skin floating group were obviously better then the skin pulping one at the same times (P < 0.05 or P < 0.01). Whether it was necessary to select the method of micro-skin floating depends on the condition that the expansion ratio was lager than 12.5: 1.