Scar Clinical Trial
Official title:
A Multicenter, Randomized, Controlled Clinical Trial of Tissue-engineered Skin Grafts With Autologous Scar Dermal Scaffolds for the Repair of Hypertrophic Scars
Hypertrophic scar is an inevitable outcome of wound repair. It affects the appearance and
some scar contracture often leads to joint dysfunction.Patients have low quality of life,
long treatment cycle, heavy social burden and high medical costs.Skin grafting is currently
the gold standard for scar repair.However, there are often insufficient skin sources, easy to
scar recurrence, lack of skin accessory organs.The application of composite skin graft can
reduce the recurrence rate of scar healing and relieve the deficiency of skin source.However,
its survival rate is not high, and acellular allogeneic dermal scaffolds are expensive, heavy
medical burden.Therefore, how to effectively repair the wound surface after surgical excision
of scar is the main problem to be solved urgently.
Dermal loss is the main cause of unsatisfactory scar repair and recurrence.The previous
clinical study of the research group found that the application of autologous epidermal basal
cells and autologous skin graft obtained in real time during the operation could effectively
improve the survival rate of skin graft in the treatment of wound surface (Brit J Surg,
2015).Furthermore, it is suggested that the application of autologous scar dermal scaffolds
can achieve the control of skin damage in the skin harvesting area and the orthotopic
transplantation of autologous scar tissue dermal scaffolds, which can effectively reduce the
economic burden of patients.Therefore, the researchers wondered whether the construction of
tissue-engineered skin orthotopic transplantation with autologous epidermal basal cells and
autologous scar dermal scaffold combined with autologous scar dermal scaffolds to repair the
wound after scar resection could improve the survival rate of skin graft and reduce scar
recurrence.To this end, we plan to carry out multi-center, prospective, randomized,
controlled clinical trials, aiming at proposing more effective surgical treatment guidelines
for the repair of hypertrophic scar, improving the survival rate of composite skin graft, and
solving the current clinical problems of hypertrophic scar repair.
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