摘要
目的 探讨手部烧伤后瘢痕挛缩畸形的有效防治方法。方法 回顾分析 1995— 2 0 0 3年间 5 5 9例手烧伤患者早期处理及 10 8例后期瘢痕挛缩畸形整形治疗情况。结果 5 5 9例 10 87只手烧伤早期积极处理创面 ,对深Ⅱ度 ,Ⅲ度创面早期手术 ,手部瘢痕畸形较轻 ,手功能恢复良好。而手部烧伤创面感染、手术时间晚或薄皮片移植 ,后期瘢痕畸形严重 ,手功能丧失多。 10 8例 15 5只手烧伤后期瘢痕挛缩畸形采用局部改形术、瘢痕松解植皮、皮瓣转移、关节融合等方法 ,手部畸形矫正满意 ,功能恢复良好。结论 手部深度烧伤早期手术治疗可有效的预防瘢痕增生 ,远期手功能恢复良好。对手烧伤后瘢痕增生挛缩畸形整形应及早进行。
Objective To research the treatment of cicatricial contracture of hands burned. Methods The effect of the early stage plastic operation on 559 cases with hands burned and 108 cases with cicatricial contracture in hands burned from 1995 to 2003 were reviewed and analyzed. Results The function of the hands and the wound surfaces of deep Ⅱ degree and Ⅲ degree burn early treated in effect, recovered well and cicatricial contracture was slight. But as for those whose wound surfaces were infected, operating time was late and graft skin flaps were thin, the cicatricial contracture was severe. As for the 155 hands of 108 cases with cicatricial contracture,the, the wound surfaces were covered with large and middle thickness' skin flaps and the hand function recovered well.Conclusion The early stage plastic operation on the parts of the hands burned in deep degree is helpful to the recovery of hand function and to the prevention of the burned hands' deformity.
出处
《临床军医杂志》
CAS
2004年第6期52-54,共3页
Clinical Journal of Medical Officers
关键词
手烧伤
瘢痕
整形手术
burned hand
cicatricial contracture
plastic operation
