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解放军总医院第一附属医院烧伤整形科,北京,100048
纸质出版日期:2016,
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刘伟, 李峰, 陈鑫, 等. 自体水疱皮移植治疗深度烧伤后瘢痕性色素脱失[J]. 局解手术学杂志, 2016,(5).
LIU Wei, LI Feng, CHEN Xin, et al. Curative effect of autologous blister skin grafting on cicatricial depigmentation caused by deep burn[J]. null, 2016,(5).
[摘要]目的探讨自体水疱皮移植和ReCell自体色素细胞移植治疗深度烧伤后瘢痕性色素脱失的临床治疗效果。方法选取2012年5月至2015年2月34例烧伤后瘢痕性色素脱失患者,手术观察色素脱失区共61处。将患者随机分为自体水疱皮组和ReCell自体色素细胞组:自体水疱皮组(18例)32处,用BY-Ⅱ AM型表皮移植白癜风治疗仪磨削去除瘢痕性色素脱失区表皮,使用负压发疱分离器取自体水疱皮,将其移植覆盖在色素脱失区创面上;ReCell自体色素细胞组(16例)29处,用电动取皮刀取刃厚皮片,应用ReCell试剂盒将供体皮片制成活色素细胞悬液,将其均匀移植喷洒在剥脱表皮的色素脱失区。观察创面术后愈合时间和术后3个月色素脱失区色素恢复情况。结果自体水疱皮组的创面术后愈合时间明显短于ReCell自体色素细胞组,自体水疱皮组术后3个月色素恢复的有效率明显高于ReCell自体色素细胞组,差异均有统计学意义(P<0.05)。结论用磨削法和发疱分离自体表皮治疗深度烧伤后瘢痕性色素脱失简便易行,疗效确切,无缝合瘢痕和手术风险。
Abstract: ObjectiveTo compare the treatment effect of autologous blister skin grafting with ReCell autologous chromocyte grafting on cicatricial depigmentation caused by deep burn.MethodsThirty-four patients with cicatricial depigmentation caused by deep burn who were admitted into hospital from May 2012 to February 2015 were included in this study.The total 61 depigmentation areas were randomly divided into two groups:32 areas from 18 patients were treated with autologous blister skin grafting
and the other 29 areas from 16 patients were treated with ReCell autologous chromocyte grafting.In the autologous blister skin grafting treated group
epidermis from the depigmentation area was removed by grinding with a BY-II AM type epidermal graft vitiligo treatment equipment.Then the autologous blister skin was harvested with the suction blistering method and grafted onto the wound of depigmentation area.In the ReCell autologous chromocyte grafting treated group
split-thickness skin flap was harvested by electric dermatome.Then the donor skin was processed into chromocyte suspension with the ReCell assay kit and evenly sprayed onto the depigmentation areas.The wound healing time and the pigment recovery 3 months after surgery were observed.ResultsThe wound healing time of autologous blister skin grafting treated group was significantly shorter than that of ReCell autologous chromocyte grafting treated group (P<0.05).The effective rate of pigment recovery 3 months after surgery in autologous blister skin grafting treated group was markedly higher than that of ReCell autologous chromocyte grafting treated group(P<0.05).ConclusionThe autologous epidermal grafting treatment using grinding and suction blistering method is simple and easy to perform
markedly effective
with no suture scar and low surgical risk
thus serving as a promising and ideal therapeutic method for burn scar depigmentation.
色素脱失烧伤后瘢痕自体水疱皮ReCell色素细胞收集技术
depigmentationburn scarautologous blister skin graftingReCell autologous chromocyte grafting
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