摘要
目的探讨小儿手部烧伤后瘢痕挛缩畸形的手术整复及功能重建。方法2002年1月～2005年1月对烧伤后手部瘢痕挛缩畸形的63例患儿(68只手)进行手术整复,并在术后采取综合康复措施。结果4例腹部带蒂皮瓣均成活;共行70例次瘢痕切除植皮术,术后皮片成活良好42例次,少许表皮坏死25例次,小块皮片坏死、经换药后创面愈合2例次,皮片部分坏死、经再次植皮创面愈合1例次。术后6月根据手部关节活动程度测量,结果优37只手,良19只手,中8只手,差4只手,患儿家属满意度为91%(62/68)。结论小儿手部烧伤后瘢痕畸形首选手术治疗,根据畸形程度采取不同的术式,辅以术后康复治疗,可以较好的恢复患手的功能。
Objective To study the rehabilitation of hand with postburn pathological scar in child. Methods 63 pediatric cases （68 hands） with postburn pathological scar underwent operation. Synthetically rehabilitation was performed after operation. Results 4 cases of abdominal pedicle flap survived. 70 operations were succeed, including skin graft survived perfectly in 42 cases, a little of epidermis putrescence in 25 cases, partially survived in 3 cases. The activity of hand was excellent in 37, good in 8 and poor in 4 and satisfied rate of family numbers was 91% （62/68）. Conclusion Operation and synthetically rehabilitation were effective to the hands with postburn pathological scar in child.
出处
《中国现代手术学杂志》
2006年第3期225-226,共2页
Chinese Journal of Modern Operative Surgery
关键词
烧伤
手畸形
获得性
儿童
burns
hand deformities, acquired
child
