瘢痕性并指畸形术后应用防瘢痕粘连固定带的临床观察  

A anti-scar adhesions belt for the repairment of web scar adhesion of patients' being burned

作　　者：赵连魁[1] 赵洪良[1] 李冬军[1] 郑文立[1] 李明[1] 杨高松[1] 潘辉[1] 易涛[1] 

机构地区：[1]石家庄市第一医院烧伤整形科,河北石家庄050011

出　　处：《中国美容医学》2013年第10期1013-1015,共3页Chinese Journal of Aesthetic Medicine

基　　金：河北省卫生厅重点研究项目(20120151);河北省医学适用跟踪项目(GL2012067)资助

摘　　要：目的:观察瘢痕性并指畸形术后应用防瘢痕粘连固定带的临床效果。方法:对32例患者烧伤后瘢痕性并指畸形56个部位依据粘连程度及周围供皮状况分别采用"Z"字或矩形皮瓣等小皮瓣修复并随机分为治疗组和对照组。术后拆线后,对照组15例患者共21个部位应用常规治疗+弹力手套,治疗组17例患者35个部位应用常规治疗+防瘢痕粘连固定带持续保持压力。结果:两组年龄和性别比较无统计学差异。两组病情严重程度比较无统计学差异。随访3个月。对照组21个部位复发(7/21)。治疗组35个部位复发(4/35)。采用χ2检验治疗组复发率低于对照组,P<0.05,具有明显统计学差异。结论:充分利用指蹼周围正常皮肤,精确设计小型皮瓣可简化手术,手术后应用防瘢痕粘连固定带治疗与弹力手套比较,术后复发率低。Objective To investigate a new method for the treatment of patients＇web scar adhesion. Methods According the degree of adhesion and local condition of 56 web scar adhesion in 32 patients＂ hands.The operation methods including micro-flaps （Z-plasty and rectangle flap） and autograft. 32 patients were divided into two groups.21 webs of 15 patients＂ in control group were treated by strech gloves in order to prevent its reoccurence after their operation.35 webs of 17 patients＂ in therapy group were treated by a special belt （anti-scar adhesions） in order to prevent their reoccurence. Results The reoccur rate of patients in therapy group were significantly lower than control group （P〈0.05）. It was statisticly different from that of control group. Conclusion The anti-scar adhesions belt decreased the reoccur rate of patients＇web scar adhesion after operation.

关 键 词：烧伤 爪形手 指蹼 瘢痕 粘连 整复 

分 类 号：R619.6[医药卫生—外科学]