Volume 20 Issue 5
May  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(5): 773-776
WANG Zhen-jun, PAN Sun-feng, FANG Gao-feng, LIU Liang, ZHU Min-da. Observation on the curative effect of replantation of autologous thick skin in the donor area of elderly medium-thickness skin[J]. Chinese Journal of General Practice, 2022, 20(5): 773-776. doi: 10.16766/j.cnki.issn.1674-4152.002451
Citation: WANG Zhen-jun, PAN Sun-feng, FANG Gao-feng, LIU Liang, ZHU Min-da. Observation on the curative effect of replantation of autologous thick skin in the donor area of elderly medium-thickness skin[J]. Chinese Journal of General Practice, 2022, 20(5): 773-776. doi: 10.16766/j.cnki.issn.1674-4152.002451
shu

Observation on the curative effect of replantation of autologous thick skin in the donor area of elderly medium-thickness skin

doi: 10.16766/j.cnki.issn.1674-4152.002451

  • Department of Burn Orthopaedics, Jiaxing Hospital of Traditional Chinese Medicine Affiliated to Zhejiang University of Chinese Medicine, Jiaxing, Zhejiang 314001, China

Funds:

 2020PY075

 2019AY32017

  • Received Date: 2021-04-19
    Available Online: 2022-09-05
    Abstract
  •   Objective  To observe the therapeutic effect of autologous thick skin replantation in the donor area of medium-thickness skin in elderly patients and explore a new therapeutic method.  Methods  A total of 50 elderly patients with deep burns and scar contracture who were admitted to the Department of Burns and Orthopaedics of Jiaxing Hospital of Traditional Chinese Medicine from March 2019 to June 2020 and who met the inclusion criteria were selected and divided into the treatment group and the control group by random number table method, with 25 patients in each group. The anterolateral thigh was selected as the donor area in both groups, and medium-thickness skin slices (0.3-0.4 mm) were cut to repair burns, functional parts, scars and other wounds. In the treatment group, blade thick skin slices (0.12-0.15 mm) were cut beside the donor area of the medium-thickness skin slices, and the slices were perforated and transplanted into the donor area of the medium-thickness skin slices. The donor area of the control group was covered with Vaseline gauze and then bandaged under pressure. The healing time, Vancouver Scar Scale score and pruritus score of medium-thickness skin donor site were compared between the two groups.  Results  On the 7th day after operation, all the donor grafts in the treatment group survived, and the healing time of donor grafts in the treatment group [9.0(8.0, 12.0) d] was significantly shorter than that in the control group [21.0(20.5, 24.5) d], with statistical significance (P < 0.05). Three months after surgery, the Vancouver Scar Scale score in the treatment group [3.0(2.0, 3.5) points] was lower than that in the control group [10.0(9.0, 11.0) points], the difference was statistically significant (P < 0.05), and the pruritus score [1.0(1.0, 2.0) points] was lower than that in the control group [6.0(5.0, 7.0) points], and the difference was statistically significant all (P < 0.05). Six months after surgery, the Vancouver scar scale score in the donor area of the treatment group [1.0(0.5, 1.5) points] was lower than that of the control group [6.0(4.0, 8.5) points], the difference was statistically significant (P < 0.05), and the pruri- tus score [1.0(1.0, 1.0) points] was lower than that of the control group [2.0(1.0, 2.5) points], the difference was statistically significant (P < 0.05).  Conclusion  The use of autologous blade thick skin grafting medium-thickness skin donor area can significantly shorten the wound healing time, reduce the degree of scar hyperplasia and has a good clinical effect.

     

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