Scarring At Donor Sites After Split-Thickness Skin Graft: A Prospective, Longitudinal, Randomized Trial

被引：12

作者：

Karlsson, Matilda ^{[1
]}

Elmasry, Moustafa ^{[1
]}

Steinvall, Ingrid ^{[1
]}

Sjoberg, Folke ^{[1
]}

Olofsson, Pia ^{[1
]}

Thorfinn, Johan ^{[1
]}

机构：

[1] Linkoping Univ, Dept Hand Surg Plast Surg & Burns, Linkoping, Sweden

来源：

ADVANCES IN SKIN & WOUND CARE | 2018年 / 31卷 / 04期

关键词：

donor-site dressing; hydrofiber; Patient and Observer Scar Assessment Scale; polyurethane foam; porcine xenograft; scar assessment; scarring; split-thickness skin graft; ASSESSMENT SCALE; CLINICAL-TRIAL; DRESSINGS; PATIENT; QUALITY; CARE;

D O I：

10.1097/01.ASW.0000530684.31491.5f

中图分类号：

R75 [皮肤病学与性病学];

学科分类号：

100227 [皮肤病学];

摘要：

OBJECTIVE: The aim of this study was to evaluate scarring at split-thickness skin graft donor sites 8 years after surgery. METHODS: At surgery, 67 patients were randomized to hydrofiber, polyurethane foam, or porcine xenograft treatment. Scars were evaluated with the Patient and Observer Scar Assessment Scale. RESULTS: Results showed significant differences in observed scar outcomes at donor sites, leaving the polyurethane foam-treated and the porcine xenograft-treated patients with the least satisfying scars. Multivariable regression analysis showed that the group treated with the xenografts had worse scores for overall opinion of the scar than did the other groups (P = .03), the most important factor being pigmentation. There was no correlation between duration of healing time and quality of the scar. CONCLUSIONS: There were significant differences among the groups, with the hydrofiber group being the most satisfied with the appearance of their scar.

引用

页码：183 / 188

页数：6

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