手部烧伤后瘢痕挛缩的治疗体会  

Treatment experience of scar contracture after hand burn

作　　者：黄竞卓[1] 王韶亮[1] 刘婷[1] 雷泽源[1] 樊东力[1] 黄春基[1] 

机构地区：[1]第三军医大学新桥医院整形美容科,重庆400037

出　　处：《局解手术学杂志》2017年第4期294-296,共3页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探讨手部烧伤后瘢痕挛缩患者通过手术整形后的治疗效果。方法回顾性分析2011年12月至2016年12月我科收治的56例手部烧伤后瘢痕挛缩患者的临床资料。针对不同程度的畸形以及瘢痕组织的部位、范围等结合手外科特点采用不同的手术方法治疗手部瘢痕挛缩畸形。分析并比较手部功能及形态恢复情况。结果所有病例均成功实施手术,移植皮片均成活,随访6个月手部外形及功能均基本恢复,无再次挛缩发生。结论对不同部位及程度的瘢痕挛缩需采用相应的手术方案,且术后配合合理的康复训练能够更好地恢复手部功能及形态,防止再次挛缩。Objective To evaluate the effect of plastic surgery for scar contracture after hand burn. Methods Clinical treatment data of 56 patients with scar contracture after hand burn was collected from December 2011 to December 2016. Different surgery methods were adopt- ed to treat the scar contracture after hand burn according to different degree, different sites and different range. Results All cases were operated successfully, and the appearance and function of the hands were almost recovered during the 6 months＇ follow-up, without contracture again. Conclusion Appropriate surgical programs should be used in scar contracture with different parts and degrees, and reasonable postoperative rehabilitation can improve the function and appearance of hands better, which can avoid secondum contracture.

关 键 词：手部烧伤 瘢痕挛缩 手术整形 康复治疗 

分 类 号：R622.9[医药卫生—整形外科] R493[医药卫生—外科学]