Clinical Study of the Impact on the Skin Area to Thick Hypertrophic Scars by Making the Use of the Health of Dermal Tissue
Abstract：Objective To explore the clinical effect of the healthy dermal tissue filling the thick skin area in order to reduce hyper -trophic scars.Methods Choosing 24 burned patients who needed to transplant thick skin hospitalization .The patients were randomly di-vided into three groups , the group of crusts transplantation , autologous thick replantation group and control group , eight cases in each group .Crusts transplant group surgery was applied the roller blade to take the skin graft to a healthy level of tangential excision wounds , and picked healthy dermis crusts for a spare use .Skin drum machine or pneumatic machine was applied to take the skin thickness skin graft in surgery thigh area.Thick skin area of thighs were selected for observation site about 10 ×10cm size, the selected scab with healthy dermis cut about 1 ×1cm size graft.Autologous thick replantation group were applied to take the skin knife or pneumatic roller blade thickness skin graft take about 10 ×10cm size of thick at the donor site .The control group control were used their own body .Results The healing time crusts autologous transplantation group and thick replantation group were significantly shorter than the contrast group .There was no signifi-cant difference (P>0.05) between Vancouver scar score crusts and autologous transplantation group .Vancouver scar score in the control group was (3.714 ±2.498), significantly higher than the scab autologous transplantation group with thick replantation group (P<0.01). Conclusion Making the use of healthy dermal tissue cut in thick crust filled donor sites could shorten thick and shorten the healing time .
Keywords：EscharectomyDermisDonor siteScar
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 498-499,500 )