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自体中厚皮移植治疗深度手背烧伤44例的体会

Experience of medial autoskin grafting for treating deep burn on the back of hand in 44 cases
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摘要 目的 :探讨提高深度手背烧伤疗效的治疗方法。方法 :根据肌腱、骨质等深层组织毁损情况采取早期切削痂植皮、蚕食脱痂肉芽组织形成后再植皮及前述两种方法相结合的方式处理创面。结果 :44例65只手功能良好的20例34只手 (52 3 % ) ;功能较好的10例15只手 (23 % ) ;功能障碍的14例16只手 (24 7 % )。结论 Objective:To study the experience in the management of deep burn on the back of hand.Methods:Early escharectomy or tanˉgential excision with skin grafting,skin grafting after granulation formation by decrustation and both methods simultaneously were employed to treat burn wounds according to the injury state of muscle tendon and bone in the wound.Results:Among65hands in44patients with hand burn,34hands in20cases recorved function very well(52.3%),15hands in10cases recovered function well(23%),but16hands in14cases suffered fromdysfunction(24.7%).Conclusion:Different methods were employed differently according to the injury state of deep tissue.Satisfectory results could be achieved.
作者 陈光
出处 《现代医药卫生》 2004年第11期953-953,共1页 Journal of Modern Medicine & Health
关键词 自体中厚皮移植 治疗 深度手背烧伤 功能障碍 Hand back Deep burn Autoskin grafting
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