摘要
目的总结烧伤后上肢瘢痕屈曲挛缩畸形的临床治疗经验。方法整形手术分两步进行,一期先行瘢痕切除松解术,术中暂不行皮片移植术,先行持续关节牵引,使之回复至伸直位,二期再行皮片移植。结果本组病例通过瘢痕切除、牵引后再植皮,术后肢体功能恢复好。结论严重肢体瘢痕屈曲挛缩畸形可通过瘢痕切开挛缩松解、持续牵引、二期皮片移植治疗,达到满意的治疗效果。
Objective To summarize the clinical experience in the management of severe postbum scar contracture deformity in the upper extremities. Methods The operation is derided into two steps.The first period, sear excision and lysis is operated but skin grafting isn＇t carfled on temporarily, constant traction of joints is operated at first in order to make the joint recover to the position where is can stretch out. The second period, skin grafting is carried on then. Results Severe postbum sear contracture deformity in twenty - five postbum patients could be corrected by sear removal, constant traction and skin grafting. Conclusion Scar excision and lysis with constant traction might be an optimal method in the management of severe postbum scar contracture deformity in the upper extrcmities and satisfactory results could be obtained.
出处
《宁夏医学杂志》
CAS
2006年第3期197-198,共2页
Ningxia Medical Journal
关键词
烧伤瘢痕
挛缩畸形
持续牵引
Postburn scar
Contracture deformity
Constant traction
