大面积深度烧伤创面三种治疗方法疗效的回顾性分析.doc

大面积深度烧伤创面三种治疗方法疗效的回顾性分析 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：大面积深度烧伤创面三种治疗方法疗效的回顾性分析 1 1 临床资料 3 1．2 治疗方法 3 2 结果 4 3 讨论 5 文2：大面积脑梗死好发部位之回顾性分析 7 1 资料与方法 7 2 结果 8 3 讨论 8 4 参考文献 10 参考文摘引言： 10 原创性声明（模板） 11 文章致谢（模板） 11 正文 大面积深度烧伤创面三种治疗方法疗效的回顾性分析 文1：大面积深度烧伤创面三种治疗方法疗效的回顾性分析 Abstract： Objective To study the features and the outcomes of three therapeutic approaches to large deep burn A total of 107 patients with large deep burn, who were treated respectively with three different approaches between Jan 1993 and Dec 2004, were studied retrospectviely. The approaches included eschar reserving plus late skin grafting (escharreserved group), eschar shaving plus allograft holing and autograft inlaying (inlaid group), and eschar shaving plus microskin grafting (microskin group). Results The mean wound healing time was ± days for the eschar-reserved group, ± days for the inlaid group, and ± days for the microskin group. Longer wound lasting time, more complicatio and higher death rate were found in the escharreserved group, whereas in the other two groups the wounds healed up with faster epithelization, fewer complicatio and more satisfactory appearances. Furthermore, microskin group had the virtue of saving on skin source and easy procedure. Conclusion It is important to clear the necrotic tissues of the wounds in time and then to cover them with appropriate materials in order to reduce invasive infection, lower complication, accelerate healing, shorten coue and increase healing rate. Key words： burn; eschar reservation; mixed grafting; microskin 大面积深度烧伤患者，由于自体皮源少，烧伤创面的修复是其治疗的重点和难点。尽早尽多地去除创面坏死组织，寻找有效方法覆盖切削痂创面是救治大面积深度烧伤的重要手段。我科1993年1月—2004年12月，先后采用了保痂后期肉芽创面植皮术、切削痂异体皮打洞自体皮嵌入术和切削痂微粒皮移植术等3种治疗方法治疗了107例大面积深度烧伤患者（不包括因某些原因中途放弃治疗自动出院者），现将治疗结果报告如下。 1 临床资料 1．1 一般资料 本组共107例，均为我科1993年1月—2004年12月收治的大面积深度烧伤患者，创面以深Ⅱ度和Ⅲ度为主。其中男78例，女29例，按保痂后期肉芽创面植皮术、 切削痂异体皮开孔自体皮嵌入术和切削痂微粒皮移植术三种治疗方法分为保痂组、嵌入组和微粒组。3组病人一般情况见表1。 1．2 治疗方法 保痂后期肉芽创面植皮术 简单清创后，予磺胺嘧啶银或聚维酮碘涂抹创面， 行灯烤，促其