"Shift to right flypaper technique" a refined method for postage stamp autografting preparation
"Shift to right flypaper technique" a refined method for postage stamp autografting preparation
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DOI：
10.1016/j.burns.2006.10.383
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发表时间：
2007-09-01
期刊：
影响因子：
2.7
通讯作者：
Lai, Cheny-Sheng
中科院分区：
文献类型：
--
作者：
Lee, Su-Shin;Chen, Yi-Hui;Lai, Cheny-Sheng
“缺乏供体皮肤”是自体植皮治疗大面积烧伤的一个挑战。改良的Meek技术似乎是解决这个问题的实用方法。然而，改良Meek技术的设备和消耗的材料都很昂贵，这限制了常规使用。设计一种成本较低、效率高、易于应用的扩展方法，可提高烧伤护理质量，缩短住院时间。我们以前的研究报道了“飞纸技术”制备邮票自嫁接。烧伤创面融合的时间取决于皮肤岛的大小和扩张比。在临床实践中，5毫米的皮肤正方形是皮肤岛的首选尺寸；然而，可以修改定位程序以改善伤口愈合过程。根据棋盘图，“右移”定位技术缩短了6次扩张图中10%的最大距离和9次扩张图中20%的最大距离。通过使用快速切割板、棋盘托盘和凡凡油纱布，可以将皮肤岛均匀定位并正确定向在纱布上。这种方法允许真正的膨胀比高达9倍。与改良的Meek技术相比，该方法也提供了快速的伤口再上皮化，但成本更低。然而，烧伤疤痕需要进一步的康复和压迫治疗，以改善功能和美容效果。这种“向右移蝇纸技术”在处理大面积烧伤时值得考虑。
"Lack of donor skin" is a challenge condition for autografting in the treatment of extensive burns. The modified Meek technique seems to be a practical solution for this problem. However, the equipment and consumed materials for the modified Meek technique are expensive which limits routine use. Designing a less expensive, efficient and easy to apply expansion method may improve burn care quality and shorten hospital stay period. Our previous study reported the "flypaper technique" for preparation of postage stamp autografting. The time for confluence of the burned wound depends on the size of the skin islands and expansion ratio. In clinical practice, 5 mm skin squares is the preferred size of the skin islands; however, the positioning procedure can be modified to improve the wound healing process. According to the chessboard diagram, the "shift to right" positioning technique shortens the 10% biggest distance in six times expansion diagrams and 20% biggest distance in nine times expansion diagrams. By using a quick cutting plate, chessboard tray and petrolatum gauze, the skin islands can be uniformly located and correctly oriented on the gauze. This method allows a true expansion ratio up to nine times. In comparison with the modified Meek technique, this method also offers rapid wound reepithilization but with lower cost. However, the burn scar needs further rehabilitation and compression therapy to improve the functional and cosmetic result. This "shift to right flypaper technique" is worthy of consideration in dealing with extensive burns.