[Comparison of cost between two ways of skin grafting in the treatment of patients with extensive deep burn].
OBJECTIVE
To evaluate the economic significance of Meek skin grafting and automicrografting combined with large piece of allogenous skin (micrografting in brief) in the treatment of patients with extensive deep burn.


METHODS
Twenty-four patients with extensive deep burn admitted to the First Affiliated Hospital of Wenzhou Medical College were divided into Meek skin grafting group and micrografting group, with 12 patients in each group. Statistical comparison between Meek skin grafting group and micrografting group in respect of wound healing time, consumption of each special dressing, total cost of hospitalization, rehabilitation cost during convalescence was made. Then the cost and effect value was compared between two groups.


RESULTS
The wound healing time, consumption of each special dressing, total cost of hospitalization and rehabilitation cost in Meek skin grafting group was (14.4 +/- 1.9) d, yen(16 590 +/- 521), yen(421 628 +/- 145), yen(39 571 +/- 225), respectively, and that in micrografting group was (25.6 +/- 4.2) d, yen (136 441 +/- 356), yen(539 526 +/- 686), yen(55 853 +/- 794), respectively. The difference between two groups were statistically significant (P < 0.01).


CONCLUSIONS
In a definite range of burn size, Meek skin grafting has a lower therapeutic cost and better therapeutic effects as compared with micrografting.
LIN
Cai
C
Department of Burns, First Affiliated Hospital of Wenzhou Medical College, Wenzhou 325000, China.
CHEN
Geng-xin
GX
ZHANG
Peng
P
LU
Cai-jiao
CJ
XU
Jian-jun
JJ
LUO
Xu
X
LIU
Zheng-jun
ZJ
D000293:Adolescent; D000328:Adult; D002056:Burns / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016038:Skin Transplantation / Q000191:economics* / Q000379:methods*; D013524:Surgical Flaps; D055815:Young Adult