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目的观察 Meek 微型皮片移植技术在烧伤外科临床应用的效果,并探讨其临床使用的价值及前景。方法对住院治疗的32例大面积深度烧伤早期切削痂后的创面,采用 Meek 植皮技术,部分病例结合传统小邮票皮片(0.5 cm ×0.5 cm,间隔0.7 cm～1.2 cm)、大张网状皮片及微粒皮移植修复创面。在同时采用小邮票移植术且植皮面积几乎与 Meek 微型皮片移植面积相等的10例进行对比观察,内容包括两种方法的操作时间、所需人员、供皮用量等。结果已制作好的 Meek 微型皮片与传统邮票皮片移植几乎同样大小的创面,两种方法在操作时间、所需人数、供皮量均有统计学意义(P<0.01)。Meek 微型皮片移植方法较传统邮票皮片手术操作时间缩短约80%,参加操作的手术人员减少2～3名,节省皮源约60%。两种皮片的移植方法成活率无明显差别。术后随访3个月～6个月,Meek微型皮片与传统邮票皮片移植后其瘢痕增生程度亦无明显差别。结论对于大面积深度烧伤,不妨采用 Meek 微型皮片移植技术。该技术相对传统小邮票皮片移植而言,具有简化手术操作,缩短手术时间,减少手术人员,以及节省皮源等优点,值得临床采用尤其值得在基层医院推广应用。
Objective To observe the clinical application of Meek micro-skin graft in burn surgery and explore its clinical value and prospect. Methods Meek skin grafting was performed on 32 cases of early wounds after extensive deep burn in hospital. Some cases combined traditional small stamp sheets (0.5 cm × 0.5 cm, interval 0.7 cm ~ 1.2 cm) Skin grafts and skin graft repair wounds. At the same time the use of small stamps transplantation and skin grafting area almost the same as Meek mini skin grafts in 10 cases were observed and compared, including the two methods of operation time, the required personnel, the amount of donor skin. Results Meek micro-skin was produced with almost the same size as traditional postage stamps. The two methods were statistically significant (P <0.01) in terms of operation time, required number of patients, and skin supply. The Meek mini skin graft method reduced the operation time by about 80% compared with the traditional stamp sheet skin graft, reduced the number of the operatives participating in the operation by 2-3, and reduced the skin source by about 60%. The survival rate of the two skin graft methods no significant difference. After 3 months to 6 months follow-up, there was no significant difference in the degree of scar hyperplasia between Meek micro-skin graft and traditional post-mortem skin graft. Conclusion For large-area deep burn, may wish to use Meek mini skin graft technology. Compared with the traditional small stamp skin graft, the technique has the advantages of simplifying the operation, shortening the operation time, reducing the operating staff, and saving the skin source, which is worthy of clinical application and is especially worth popularizing and applying in the primary hospital.