颈部烧伤疤痕挛缩治疗的回顾  

A RETROSPECT OF THE TREATMENT OF NECK BURN SCAR CONTRACTURE

作　　者：王大雄[1] 邢玉林[1] 

机构地区：[1]北京军区总医院整形外科

出　　处：《中国烧伤创疡杂志》1992年第1期57-60,70,共5页The Chinese Journal of Burns Wounds & Surface Ulcers

摘　　要：作者通过49例颈部烧伤疤痕挛缩的治疗进行了回顾,并在文中讨论了预防措施,治疗时机,总结了8种治疗方法,对手术有关问题及术后康复问题亦进行了讨论。我们认为:治疗应坚持宜简不宜繁的原则,充分考虑病人的要求,根据疤痕的性质、范围及局部具体情况选择疗程短、效果满意的治疗方法。通过本组病例分析,皮肤游离移植及局部皮瓣为治疗的主要方法。对严重畸形者宜首选岛状背阔肌皮瓣移植。This paper retrospects the treatment of 49 cases of neck burn scar contracture and suggests prevention measures and opportune treating time and sums up the experience in the practice of 8 methods used in the treatment. Points for atten-tion during the surgical operation and post opera-tive rehabilitation are also discussed. The authors conclude that the treatment should be simple and not complicated. The patients' requests should be seriously considered. The treating method must suit the actual condition of the scar, in order to get satisfactory results. Free skin grafting and local flap are commonly used. Island flap of muscular latissimus dorsi is of first choice for those with se-vere deformity.

关 键 词：颈部烧伤 疤痕挛缩 康复问题 背阔肌皮瓣 游离移植 岛状 游离皮瓣移植 畸形者 游离植皮 局部皮瓣 

分 类 号：R82[医药卫生—临床医学]