中国美容医学2012，Vol.21Issue(6)：887-889,3.
小儿手烧伤后瘢痕畸形的综合治疗经验
Experience of combined therapy on treating cicatrical deformity caused by pediatric hand bums
桂国庆 1姚玉婷 2付建华 2文辉才2
作者信息
- 1. 江西省九江县人民医院外科 江西九江 332100
- 2. 江西南昌大学第一附属医院整形外科
- 折叠
摘要
Abstract
Objective To summarize the experience of combined therapy of surgery and recovery on treating 56 cases of cicatrical deformity caused by pediatric hand burns in early time. Methods From August 2006 to December 2010,56 cases (67 hands) caused by pediatric hand burns after 2 ~6 months were entered the trial.AII of the patients were performed under the general anesthesia with tracheal intubation. Using scar release or removal and skin graft; using Z-plasty or V-Y flap transfer or advance and flap transfer.AII the patients were conducting rehabilitation training to resist scar contracture after operation. Results The all of grafting skin had survival in 38 cases: there was little excoriation on the grafting skin in 10 casessThe edge of grafting skin had craking and part of grafting skin were necrosis in 6 cases. After the medicine treatment.the wound was healed. A majority of the grafting skin was infection and necrosis,which was needed planting again in 2 cases. By rehabilitation training after 6 months of operation.the function of hands was superior in 18cases (20 hands),we!l in 25cases (30 hands),better in 7cases (9 hands) and bad in 6 cases (8 hands). Conclusion When treating pediatric hand bums,treatment time,intraoperative details and early rehabilitation exercise have great effect on postoperation effects.关键词
小儿手烧伤/瘢痕畸形/手术/康复/经验Key words
pediatric hand burns cicatrical deformities surgery rehabilitation experience分类
医药卫生引用本文复制引用
桂国庆,姚玉婷,付建华,文辉才..小儿手烧伤后瘢痕畸形的综合治疗经验[J].中国美容医学,2012,21(6):887-889,3.
