目的:探讨不同植皮方式在修复大面积烧伤创面中疗效的对比研究.方法:选择60例大面积烧伤患者为研究对象,按照随机数字表法分为三组,其中A组患者20例应用邮票皮组植皮治疗,B组20例应用M eek皮组植皮治疗,C组20例应用微粒皮组治疗,分析比较三组患者不同植皮方式的手术效果差异情况.结果:A组患者其植皮术后成活率较高,创面愈合时间短,术后一期愈合情况好,但是远期创面愈合率较低,治愈情况较差;B组患者其后术后植皮成活率较高,创面愈合时间长,术后一期愈合以及远期创面愈合率较好,临床治疗治愈情况满意;C组患者其后术后植皮成活率较低,创面愈合时间段,但是其术后一期愈合以及远期创面愈合率较差,临床治疗治愈情况较差.三组患者应用不同植皮方式手术治疗后,其在植皮成功率、创面愈合时间、一期愈合率、植皮后其创面愈合率等指标之间比较差异均有统计学意义(P<0.05).结论:不同植皮方式用于大面积烧伤创面修复的临床效果各不相同,各有优缺点,临床上应该根据患者的自身情况选择不同的植皮方式.%Objective:The comparative study of different skin-grafting patterns in restoring large area of burn-ing surface was discussed .Methods :60 cases of patients suffering from large area of burning wound receiving treat-ment were selected as research objects and divided into three groups according to the random number table method . Therein stamp skin-grafting treatment was applied to 20 cases of patients in group A ,meek skin-grafting treatment was applied to 20 cases in group B and 20 cases in group C were given Micro-skin grafting treatment .The operation result differences among the three groups were analyzed and compared .Results :group A with stamp treatment was high and the postoperative intertion status in Phase I was good ,but the forward wound healing rate was low and the curing was poor ;for patients in group B had higher grafting rate of survival ,the wound healing time was long and Phase I postoperative healing and forward healing rate was good ;clinical treatment healing effect was satisfactory . For patients in group C was low and the healing time was short ,but the Phase I healing and forward healing rate was poor with bad clinical treatment healing conditions .With the application of different skin-grafting patterns on the pa-tients in three groups ,the comparative differences in indexes of skin-grafting success rate ,wound healing time , Phase I healing rate and wound healing rate after skin-grafting all had statistical significance (P<0 .05) .Conclusion :The clinical effect of different skin-grafting patterns for large area of burning wound differ with merits and demerits , thus different skin-grafting patterns should be selected according to the patients ' own conditions .
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