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Clinical Application of Acellular Dermic Graft in Plastic Surgery
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- Author:
- No author available
- Journal Title:
- JOURNAL OF CHINESE PHYSICIAN
- Issue:
- 8
- DOI:
- 10.3760/cma.j.issn.1008-1372.2004.08.004
- Key Word:
- 脱细胞真皮基质;自体皮;创面;移植;修复
Abstract： 目的探讨应用脱细胞异体真皮与自体表皮复合移植,修复四肢关节部位创面的临床效果.方法关节挛缩瘢痕、巨大色素痣和皮肤广泛毛细血管瘤切除后,以脱细胞异体真皮与自体表皮构成复合皮,I期移植修复创面,创面最小7cm×11cm,最大12cm×19cm,其中肘关节部位8例,踝关节部位7例,膝关节部位6例,腕关节部位4例.观察移植复合皮的成活率及愈合皮片色泽、质地和关节功能改善情况.结果临床应用25例,术后移植复合皮成活率92.9%,随访3个月～2年,移植皮片颜色与周围正常皮肤颜色接近,皮片柔软,瘢痕增生不明显,关节功能较术前显著改善.结论组织工程化脱细胞异体真皮和自体表皮复合移植修复关节部位的创面不失为一种较理想的方法,尤其对自体皮源有限的患者.
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