探讨手部深度烧伤早期治疗,保护手的外观和功能的有效方法.方法:对210例(380只)手深度烧伤患者遵循“及早减压切痂,整形修复,康复训练,瘢痕防治等综合治疗”原则,采用切痂时保留间生态组织,修复时整形植皮技术,康复时有计划功能训练,瘢痕未形成时有效抑制瘢痕措施的综合治疗方法.结果:380只手均行自体中厚皮移植,除1只火焰烧伤手指远节毁损截指,其余379只手移植皮肤全部成活,按疗效评判标准[5]:优280只手占74％,良80只手占21％,差19只手占5％.结论:手部深度烧伤早期手术干预,断层中厚皮移植修复,有计划和系统的康复训练,防止瘢痕增生,全面综合的治疗方法可最大限度恢复手的功能和外形,达到接近正常.%Objective To investigate effective treatments for hand deep bum with satisfy appearance and functional outcome. Methods 380 hands in 210 patients were treated according to a combined treatment including early-stage escharectomy,timely plastic surgery,prepensely rehabilitation training and scar prophylaxis upon the onset of scarring. Results Autologous intermediate skin grafts were transplanted to all 380 hands.skin grafts in 379 hands taken well except for 1 experiencing distal digits amputation. The outcome were classified according to a accepted criterion, with 280 (74%)excellent,80(21%) fine,19 (5%) bad. Conclusion With the combined treatment,deep burn hand can restore a well appearance and functional outcome approximately to normal hand.
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