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망상화한 Matriderm과 부분층 피부이식술을 이용한 화상 창상의 치료

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Author(s)
김준형박정흠이소영박남희
Keimyung Author(s)
Kim, Jun HyungLee, So YoungPark, Nam Hee
Department
Dept. of Plastic Surgery (성형외과학)
Dept. of Rehabilitation Medicine (재활의학)
Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
Journal Title
대한화상학회지
Issued Date
2013
Volume
16
Issue
1
Keyword
MatridermBurnsDermal substitutionSkin graft
Abstract
Purpose: Skin graft is the gold standard surgical treatment in
burn wound management. But it has functional and aesthetic
limitations, such as burn scar contracture, low quality of the
grafted skin, unnatural looking skin, loss of skin elasticity, especially
in extensive deep burn wound which has tendon or
bone exposed. The authors used MatridermⓇ, a dermal analogue,
with split-thickness skin graft simultaneously in burn
wound and evaluate the effectiveness of MatridermⓇ for
treatment of burn wounds, in comparison with the skin graft
only.
Methods: 40 burn patients with skin graft were included in
this study. Patients were selected with their consent for inclusion
in an experimental group and a control group.
Patients in the experimental group received a meshed
MatridermⓇ appliance and a split-thickness skin graft, while
those in the control group received only a split-thickness skin
graft. Time to complete epithelization, rates of skin graft taken
areas, Vancouver scar scale assessment, skin elasticity
was evaluated.
Results: A better scores of Vancouver scar scale assessment
(3 points) were observed in the experimental group with
the control group (6 points) with statistical significance (P
<0.05). A higher elasticity ratio of the affected side to the
non-affected side was observed in the experimental group,
compared with the control group (P<0.05), and a similar
time to complete epithelization and rates of skin graft taken
areas were observed in the experimental group when compared
with the control group.
Conclusion: Meshed MatridermⓇ enables effective healing and improves functional and aesthetic results in split thickness
skin graft treatment of burn wounds.
Alternative Title
Split-Thickness Skin Grafting with Meshed Matriderm in Burn Wound Management
Keimyung Author(s)(Kor)
김준형
이소영
박남희
Publisher
School of Medicine
Citation
김준형 et al. (2013). 망상화한 Matriderm과 부분층 피부이식술을 이용한 화상 창상의 치료. 대한화상학회지, 16(1), 30–34.
Type
Article
ISSN
1229-0955
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/36465
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Plastic Surgery (성형외과학)
1. School of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학)
1. School of Medicine (의과대학) > Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
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