USE OF AUTOGRAFTS FOR THE TREATMENT OF LEG ULCERS IN ELDERLY PATIENTS

被引:18
作者
HARRIS, IR [1 ]
BOTTOMLEY, W [1 ]
WOOD, EJ [1 ]
CUNLIFFE, WJ [1 ]
机构
[1] GEN INFIRM,LEEDS LS1 3EX,W YORKSHIRE,ENGLAND
关键词
D O I
10.1111/j.1365-2230.1993.tb02240.x
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Human keratinocytes obtained from seven elderly patients who had long-standing leg ulcers of venous or rheumatoid origin were grown into sheets for autografting on to their ulcers on at least one and, in some cases, two occasions. Following the application of the autografts on to the ulcers the appearance of the ulcer base improved with an increase in the vascularity of the granulation tissue and decrease in the amount of exudate. An 'edge effect' was also noted in five cases, with the previously indolent-looking edge of the ulcer appearing healthier and more active. However, over a 4-month follow-up period there was no complete re-epithelialization in any of the ulcers despite these initial improvements.
引用
收藏
页码:417 / 420
页数:4
相关论文
共 11 条
[1]   UTILIZATION OF HUMAN CULTURED EPIDERMAL-KERATINOCYTES - IRREVERSIBILITY OF THE INHIBITION OF PROLIFERATION INDUCED IN STORED DETACHED CULTURES [J].
BOUCHER, F ;
POUMAY, Y ;
DEGEN, A ;
PAYE, M ;
LELOUP, R .
BURNS, 1991, 17 (03) :205-208
[2]  
COCKBILL SME, 1992, 1ST EUR C ADV WOUND
[3]   GROWTH AND DIFFERENTIATION OF HUMAN EPIDERMAL CULTURES USED AS AUTOGRAFTS AND ALLOGRAFTS IN HUMANS [J].
FAURE, M ;
MAUDUIT, G ;
SCHMITT, D ;
KANITAKIS, J ;
DEMIDEM, A ;
THIVOLET, J .
BRITISH JOURNAL OF DERMATOLOGY, 1987, 116 (02) :161-170
[4]   AUTOCRINE AND PARACRINE GROWTH-STIMULATION OF CELLS DERIVED FROM HUMAN-SKIN [J].
GILCHREST, BA ;
KARASSIK, RL ;
WILKINS, LM ;
VRABEL, MA ;
MACIAG, T .
JOURNAL OF CELLULAR PHYSIOLOGY, 1983, 117 (02) :235-240
[5]   TREATMENT OF CHRONIC VENOUS ULCERS WITH SHEETS OF CULTURED ALLOGENIC KERATINOCYTES [J].
LEIGH, IM ;
PURKIS, PE ;
NAVSARIA, HA ;
PHILLIPS, TJ .
BRITISH JOURNAL OF DERMATOLOGY, 1987, 117 (05) :591-597
[6]   CULTURE GRAFTED LEG ULCERS [J].
LEIGH, IM ;
PURKIS, PE .
CLINICAL AND EXPERIMENTAL DERMATOLOGY, 1986, 11 (06) :650-652
[7]   CULTURED ALLOGENIC KERATINOCYTE GRAFTS IN THE MANAGEMENT OF WOUND-HEALING - PROGNOSTIC FACTORS [J].
PHILLIPS, TJ ;
GILCHREST, BA .
JOURNAL OF DERMATOLOGIC SURGERY AND ONCOLOGY, 1989, 15 (11) :1169-1176
[8]   TREATMENT OF SKIN ULCERS WITH CULTURED EPIDERMAL ALLOGRAFTS [J].
PHILLIPS, TJ ;
KEHINDE, O ;
GREEN, H ;
GILCHREST, BA .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 1989, 21 (02) :191-199
[9]  
POUMAY Y, 1991, ACTA DERM-VENEREOL, V71, P195
[10]   SERIAL CULTIVATION OF STRAINS OF HUMAN EPIDERMAL KERATINOCYTES - FORMATION OF KERATINIZING COLONIES FROM SINGLE CELLS [J].
RHEINWALD, JG ;
GREEN, H .
CELL, 1975, 6 (03) :331-344