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植皮区的护理与敷料选择:一项根据临床和指南的回顾(摘译)
CADTHRapidResponseReports.DressingsandCareof Skin Graft Sites:A Review of Clinical Evidence and Guidelines [Internet][J].Ottawa (ON):Canadian Agency for Drugs and Technologies in Health,2013.
CADTH快速反应服务做了一项关于植皮区敷料选择的调查研究,其主要目的是探讨皮肤移植区如何选择适宜的敷料以及更合理的换药方案,其主要方法为根据严格的筛选标准在各检索网站进行文献检索,并总结报告。由于筛选标准较严格,从457份有相关标识的检索结果中选出了19份符合条件的报告,通过研究这些文献,对比各种应用于植皮区的敷料,得出了以下结果。 -
脱细胞异体真皮加自体薄皮复合移植减少瘢痕形成
BACKGROUND:Autogenous skin graft is a common method in treatment of deep burn,late survive effect of grafted skin flap is directly related to its thickness.In clinic,therapeutic effect of full thickness graft is the best.However,due to large skin providing area that can't be sutured directly and survive rate of graft at infected wound surface is very low,its clinical application is limited,especially in deep burn with large area.This study is to search a best material repairing wound surface of deep burn,reduce proliferation of scar and protect limbs function.
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脱细胞异体真皮对功能部位深度烧伤创面愈合瘢痕增生的改善作用
BACKGROUND:Because there was no thick skin for skin grafting supplied by enough area of supplying skin of patients with extensive area burn only autograft skin particle,split thickness autologous skin graft or cultural autograft can be applied in repairing wound,which cannot resolve the problems of contracture and deformity caused by scar proliferation after healing of wounds and dysfunction of joint.Acellular allodermis matrix of J 1 type is a kind of tissue with lowest antigenicity and thought as an ideal substituted material for resolving difficult problem of scar proliferation and dysfunction.
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先天性尿道下裂手术方式的探讨(附33例临床分析)
先天性尿道下裂是小儿外生殖器常见的畸形,由于类型各异,故矫治的术式很多.从1983年起我们根据不同类型,采用不同的手术方式予以矫治,疗效有所提高.现将术式的选择和方法予以介绍.
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带真皮下血管网皮肤移植术
1概述带真皮下血管网皮肤移植术(preserved subcutaneous vascular network skin graft,PSVNSG)为日本人冢田贞夫于1979年创用,是指含表皮、真皮全层、完整的真皮下血管网及其间少许脂肪的皮肤移植,完全成活后较全厚皮片更加柔软松动富于弹性,耐磨压,收缩小,犹如皮瓣的效果而无皮瓣过于雍肿、手术操作繁锁之弊.手术成功的关键在于受区的选择及准备,皮片保留完整的真皮下血管网及适当厚度的脂肪,以1.5~3mm为宜.
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