Abstract：
Deep partial and full-thickness burns require surgical treatment with autologous skin grafts after necrectomy, which is the generally accepted way to achieve permanent wound coverage. This study sought to examine the grafted and donor areas of children who underwent autologous skin transplantation, using two assessment scales to determine the severity of the scarring and the cosmetic outcome during long-term follow-up. At the Surgical Unit of the Department of Paediatrics of the University of Pécs, between 1 January 2015 and 31 December 2019, children who had been admitted consecutively and received autologous skin transplantation were analyzed. Twenty patients met the inclusion criteria in this retrospective cohort study. The authors assessed the results using the Patient and Observer Scar Assessment Scale (POSAS) and the Vancouver Scar Scale (VSS). There was a significant difference in how parents and examiners perceived the children\'s scars. In the evaluation of the observer scale, the most critical variables for the area of skin grafted were relief and thickness. Besides color, relief was the worst clinical characteristic on the patient scale. However, when medical professionals evaluated the donor site, significantly better results were obtained compared to the transplanted area (average observer scale score: 1.4 and 2.35, p = 0.001; VSS: 0.85 vs. 2.60, p < 0.001), yet it was similar to the graft site in the parents\' opinion (Patient Scale: 2.95 and 4.45, p = 0.181).
摘要：
深部分和全层烧伤需要在行坏死切除术后用自体皮肤移植进行手术治疗，这是实现永久性伤口覆盖的普遍接受的方式。这项研究旨在检查接受自体皮肤移植的儿童的移植和供体区域，使用两个评估量表来确定长期随访期间瘢痕形成的严重程度和美容结果。在佩奇大学儿科学系外科科，我们对2015年1月1日至2019年12月31日期间连续入院并接受自体皮肤移植的儿童进行了分析.在这项回顾性队列研究中，有20例患者符合纳入标准。作者使用患者和观察者疤痕评估量表（POSAS）和温哥华疤痕量表（VSS）评估结果。父母和考官对孩子伤疤的感知存在显著差异。在观察者量表的评估中，皮肤移植面积的最关键变量是浮雕和厚度。除了颜色,缓解是患者规模中最差的临床特征。然而,当医疗专业人员评估捐赠部位时，与移植区域相比，获得了明显更好的结果（平均观察者量表评分：1.4和2.35，p=0.001；VSS：0.85vs.2.60，p<0.001)，然而，它与父母意见中的移植部位相似（患者量表：2.95和4.45，p=0.181）。
