The Clinical Effect of Different Ways of Skin Grafting in the Repairment of Large Area Burn Wounds
Author(s): XIE Xiao-fan, CHEN Dong-mei, CHEN Yu-fei, ZOU Xiao-fang, CAI Jing-ning, LI Bao-long, Department of burn and plastic surgery, Air Force General Hospital, PLA, Library of North China University of Science and Technology, Department of orthopaedics, Air Force General Hospital, PLA
Pages: 673-676+733
Year: 2016 Issue: 4
Journal: Biomagnetism
Keyword: Stamp skin grafting; Meek skin grafting; Microskin; Burn; Repair; Healing;
Abstract: Objective: To analyze the clinical effect and feasibility of stamp skin grafting, meek skin grafting and autologous microskin in the treatment of patients with large area of burn wound. Methods: The clinical data of 120 cases of patients with large area of burn wound who admitted in the burn Department of our hospital were given a retrospective analysis; they were divided into the microskin graft group, meek skin grafting group and stamp skin group according to different skin grafting method, 40 cases in each group. All the patients were given conventional treatment after admission, and then they were given microskin grafting, meek skin grafting and stamp skin graft according to the choice of skin grafting ways. Results: The survival rate of stamp skin graft group was significantly higher than that of meek skin grafting group(P<0.05), which was significantly higher in the meek skin grafting group than that of microskin graft group(P<0.05); the wound healing time of meek skin grafting group and stamp skin group were significantly shorter than that of microskin group(P<0.05); treatment cost of 1% TBSA of stamp skin group was less than that of meek skin grafting group(P<0.05), but the treatment cost of 1% TBSA of meek skin grafting group was significantly less than that of the micro skin graft group(P<0.05). The wound healing Ⅰ stage rate of meek skin grafting group and stamp skin group were significantly higher than that in microskin graft group(P<0.05); mortality rate of meek skin grafting group and stamp skin group were lower than that of microskin graft group(P<0.05); the scar of meek skin grafting group was the lightest, joint function recovered was the best; scar of microskin graft group was the heaviest, the joint function recovery was the worst. Conclusion: The wound repair effect of different ways of skin grafting in a large area burn were not identical, the survival rate of stamp skin was high, anti-infection ability was strong, but the expansion ratio was low, wound healing effect wa poor; expansion ratio of Meek skin was high, healing effect was good, but the anti-infection ability was poor; the expansion ratio of microskin was the highest, but the survival rate was low, treatment cost was high. Therefore, we should choose different ways of skin grafting according to the patient’s own situation.
Pages: 673-676+733
Year: 2016 Issue: 4
Journal: Biomagnetism
Keyword: Stamp skin grafting; Meek skin grafting; Microskin; Burn; Repair; Healing;
Abstract: Objective: To analyze the clinical effect and feasibility of stamp skin grafting, meek skin grafting and autologous microskin in the treatment of patients with large area of burn wound. Methods: The clinical data of 120 cases of patients with large area of burn wound who admitted in the burn Department of our hospital were given a retrospective analysis; they were divided into the microskin graft group, meek skin grafting group and stamp skin group according to different skin grafting method, 40 cases in each group. All the patients were given conventional treatment after admission, and then they were given microskin grafting, meek skin grafting and stamp skin graft according to the choice of skin grafting ways. Results: The survival rate of stamp skin graft group was significantly higher than that of meek skin grafting group(P<0.05), which was significantly higher in the meek skin grafting group than that of microskin graft group(P<0.05); the wound healing time of meek skin grafting group and stamp skin group were significantly shorter than that of microskin group(P<0.05); treatment cost of 1% TBSA of stamp skin group was less than that of meek skin grafting group(P<0.05), but the treatment cost of 1% TBSA of meek skin grafting group was significantly less than that of the micro skin graft group(P<0.05). The wound healing Ⅰ stage rate of meek skin grafting group and stamp skin group were significantly higher than that in microskin graft group(P<0.05); mortality rate of meek skin grafting group and stamp skin group were lower than that of microskin graft group(P<0.05); the scar of meek skin grafting group was the lightest, joint function recovered was the best; scar of microskin graft group was the heaviest, the joint function recovery was the worst. Conclusion: The wound repair effect of different ways of skin grafting in a large area burn were not identical, the survival rate of stamp skin was high, anti-infection ability was strong, but the expansion ratio was low, wound healing effect wa poor; expansion ratio of Meek skin was high, healing effect was good, but the anti-infection ability was poor; the expansion ratio of microskin was the highest, but the survival rate was low, treatment cost was high. Therefore, we should choose different ways of skin grafting according to the patient’s own situation.
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