摘要
虽然烧伤救治技术较前有了长足的提高,但深度烧伤后瘢痕增生挛缩畸形的患者并未明显减少,有的患者畸形仍十分严重,不仅影响外观,还会导致不同程度的功能障碍。对于瘢痕增生挛缩畸形的治疗,手术仍占主导地位。除皮片移植外,功能部位、暴露部位更多切除瘢痕后移植皮瓣,特别是扩张后皮瓣或穿支皮瓣、扩张后游离皮瓣或穿支皮瓣、预构皮瓣等,以做到既完美修复,又减少供区损伤。对瘢痕挛缩畸形的治疗在积极手术的基础上应兼顾术后康复,做到外形与功能的统一。
Although burn treatment technology has been greatly improved,the number of patients with hypertrophic scar contracture deformities after burn has not decreased significantly.Some patients still have severe deformities,which not only affect the appearance,but also lead to different degrees of dysfunction.Surgery is still dominant for treating hypertrophic scar contracture deformity.In addition to skin grafting,flaps,especially expanded flaps(perforator flaps),expanded free flaps(perforator flaps),and prefabricated flaps etc.are more frequently used in functional and exposed areas after scar excision,in order to achieve perfect repair and reduce donor site damage.The treatment of scar contracture deformity should take into account the rehabilitation after operation on the basis of active operation,so as to achieve the unity of shape and function.
作者
沈余明
Shen Yuming(Department of Burns,Beijing Jishuitan Hospital,Beijing100035,China)
出处
《中华烧伤杂志》
CAS
CSCD
北大核心
2019年第6期401-404,共4页
Chinese Journal of Burns
关键词
烧伤
瘢痕
外科手术
畸形
Burns
Cicatrix
Surgical procedures,operative
Deformities
