手背深度烧伤后指蹼外形与功能修复的美学探讨  

Aesthetic reconstruction of the fingerweb appearance and function after deep burn on back of hand

作　　者：韩军涛[1] 谢松涛[1] 王洪涛[1] 朱雄翔[1] 胡大海[1] 

机构地区：[1]第四军医大学西京医院烧伤与皮肤外科,陕西西安710032

出　　处：《中国美容医学》2009年第5期606-607,共2页Chinese Journal of Aesthetic Medicine

摘　　要：目的:改进手背深度烧伤后指蹼区域的植皮方式,最大限度地恢复指蹼的外形及功能。方法:手术切除手背深度烧伤创面,取自体中厚皮分区移植,手背与指背区所植皮片的连接点位于第一指节的中段,使指蹼区皮片呈自然弧形与残存指蹼皮肤连接。术后10天左右拆线,出院后给予相应康复训练以保持手部及指蹼的外形和功能。结果:本组病例共40例,计48只手,植皮成活率均在95%以上,术后随访3月～2年,手背及指蹼外形良好,功能基本正常。结论:改进后的植皮方式在保证指蹼功能的基础上更有利于恢复指蹼的自然外形。Objective To reconstruct the fingerweb appearance and function maximatily by improving the skingrafting modus of fingerweb for the patients with deep burn on back of hand. Methods After the deep burn wound had been resected, the middle-thickness skin was grafted to the wound bed according the hand function area. The key point of skingrafting is that the free skin graft was jointed with the remaining fingerweb skin around the middle of the first dactylopodite. After 10 days, the dressing was exchanged and the stitches were taken out. When checking out, the patients were asked to do rehabilitation training for keeping the function and appearance of the hand and fingerwebs. Results Totally 40 cases （48 hands） were cared by this way and the skin-taken-rate was over 95%. After having been traced for 3 months to 2 years, the patients were satisfied with the appearance and function of hand and fingerwebs. Conclusion This method was profit for reconstructing the appearance of the fingerweb natively and keeping the hand function in good condition.

关 键 词：烧伤 手 指蹼 自体皮移植 

分 类 号：R622[医药卫生—整形外科]