摘要
目的探讨手部Ⅲ、Ⅳ度烧伤的治疗方法。方法379例(562只手)本着早减压、早手术(切削痂,大张皮片移植或皮瓣覆盖)、少去除、多保留、早锻炼、重康复的原则,对尚未伤及深筋膜以下的Ⅲ度创面,移植中厚皮,对伤及肌腱关节和骨质者,尽可能皮瓣修复。移植成活后,即可开始功能训练和抗瘢痕治疗。结果手各关节功能及感觉良好,外观无明显异常达优者406只手(72%);关节活动基本正常,外观部分异常达良者96只手(17%);瘢痕畸形明显或截指,功能基本丧失为差者60只手(11%)。结论对手部深度烧伤早期手术干预,尽可能移植中厚皮或皮瓣修复,结合康复训练,可最大限度恢复手的功能和外形。
Objective To explore the cure method for the Ⅲ to Ⅳ deep burn in the hands. Methods We used the prineiple of decompressing earlier, operating earlier （cutting scab and covering with large skin graft or skin flap ）, eliminating less, reserving more, exercising earlier and laying stress on recovery to 379 cases （572 hands）,We grafted middle skin graft to the Ⅲ wound beyond deep fascia,while we used skin flap to the wound in which the tendon,joint and bone were damaged,As for the uncertainly diagnosed IV wound,we observed and repaired it later after cutting scab, The patients might begin functional training and resisting sear cure.Results 406 cases （72 percent）had good look, whose hands joint function were good and felt well.96 cases （ 17 percent）had partly abnormity look,whose hands joint acted normally,60 cases （11 percent）had obvious sear deformity or cut fingers,whose function almost lost.Conclusion Hand deep burn was treated in the early stage by grafting middle skin graft or skin flap and combining with rehabilitation training,whieh eould reeover the shape and funetion of the hands at most.
出处
《基层医学论坛》
2008年第19期581-582,共2页
The Medical Forum
关键词
手烧伤深度
切痂
植皮
皮瓣
康复
The burn depth of the hands Cut scab Skin graft Skin flap Rehabilitation training
