目的探讨持续负压吸引联合脱细胞异体真皮、自体刃厚皮移植治疗腋窝烧伤后瘢痕的松解效果。方法 将腋窝烧伤后瘢痕挛缩畸形且使用持续负压吸引联合自体刃厚皮移植的患者38例作为治疗组, 随机抽取同期采用腋窝瘢痕松解后直接行皮瓣转移的40例作为对照组, 比较两组的疗效。结果 两组患者均腋窝瘢痕松解满意。经随访6～12个月, 治疗组植皮区光滑平整, 色泽及弹性良好, 瘢痕挛缩少, 腋窝功能改善良好;两组供皮区无瘢痕增生, 而对照组供瓣区瘢痕轻度增生。结论 持续负压吸引联合自体刃厚皮移植是治疗腋窝烧伤后瘢痕畸形的一种比较理想的方法。

Objective To study the continuous negative pressure aspiration combined with cografts of allogenic acellular dermal matrix and autogenetic split-thickness skin in treatment of scar in axillary fossa. Methods 38 patients admitted from January 2010 to June 2012 were treated with continuous negative pressure aspiration combined with cografts of allogenic acellular dermal matrix and autogenetic split-thickness skin to deal with the scar in axillary fossa as treatment group.40 cases admitted from the same time were treated with transfer of skin flap as control group. Results All grafts in treatment group survived well, without obvious pigmentation and scar contraction.But the scar hyperplasy was lighter than that in the control group. Conclusions Continuous negative pressure aspiration combined with cografts of allogenic acellular dermal matrix and autogenetic split-thickness skin is a ideal treatment for the scar of axillary fossa.