The Application of Point-like Skin Grafting in Intractable Ulcer in Basic Hospital

XIE Jia-xi

Abstract：Objective:To explore application of punctate skin graft in treatment of refractory ulcers in the primary hospital. Method:One hundred patients of intractable ulcers from June 2011 to June 2013 in the hospital were randomly divided into the control group and the treatment group,each group of 50 cases. The control group was treated by point-like skin grafting method. The treatment group was treated by generally full-thick layer of skin graft or graft law postage stamp. The indicators between the two groups were compared after treatment,such as the drainage condition of part of the transplant,odor on wound,the flap or skin graft survival situation,the complications,wound healing time of the patient,hospital stay,the cost of hospitalization. Result:The cases of wound exudate,wound odor and complications in the treatment group were all less than the number of cases in the control group,the number of cases of skin flap survival significantly more than the control group,and the differences between the two groups were all statistically significant(P<0.05). Wound healing time and duration of hospitalization of patients in the treatment group were significantly shorter than the control group,the total cost of hospitalization was significantly lower than the control group, and the differences between the two groups were all statistically significant(P<0.05).The daily cost of hospitalization was no significant difference between the two groups(P>0.05). Conclusion:The point-like skin grafting treatment is better than other skin graft,with quick recovery,high survival rate,less invasive,low cost, which is worth using in primary hospitals.