田丽 肖贵喜 吴晴晴 贾立平

    [摘要]目的：探讨人工真皮结合自体刃厚皮片治疗上肢热压伤的临床效果。方法：选择笔者医院2020年6月-2022年3月收治的因热压伤导致上肢皮肤缺损患者12例，其中全层皮肤损伤7例，合并肌腱外露5例。所有患者创面清创切痂后行人工真皮植入术，待人工真皮血管化后行自体刃厚皮片移植修复创面，观察记录术后创面愈合情况、并发症、瘢痕情况及患者满意度。结果：本组12例患者创面一期植入人工真皮后均完成血管化，平均血管化时间19.16(14～21)d，术后7 d创面愈合率96.4%，术后1个月植皮区无感染、血清肿、水疱发生。术后6个月，植皮区及取皮区温哥华瘢痕评分分别为(2.16±2.36)分和(0.95±1.56)分，创面满意度评分为(4.31±0.32)分。结论：使用人工真皮结合自体刃厚皮片治疗上肢热压伤创面，操作简单，效果良好，创面外观满意度高，安全性好。

    [关键词]热压伤；人工真皮；自体刃厚皮片；移植；创面修复

    [中图分类号]R622? ? [文献标志码]A? ? [文章编号]1008-6455(2024)03-0053-04

    Clinical Efficacy of Artificial Dermis Combined with Autologous Split-thickness Skin in the Treatment of Upper Limb Thermal Compression Injury

    TIAN Li，XIAO Guixi，WU Qingqing，JIA Liping

    (Department of Burn and Plastic Surgery，the First Peoples Hospital of KunShan，Suzhou 215006，Jiangsu，China)

    Abstract： Objective? To investigate the clinical effect of artificial dermis combined with autologous split-thickness skin in the treatment of upper limb thermal compression injury. Methods? Twelve patients with upper limb skin defects caused by hot crush injury admitted to the author's hospital from June 2020 to March 2022 were selected.Including 7 patients with full-layer skin injury and 5 patients with tendon exposure.After debridement and scabs of all wounds ......