小儿手部瘢痕挛缩松解术后复发因素的探讨  

Study on the recurrence factors after hand scar contracture release in children

作　　者：施海峰[1] 芮永军[1] 曾蕾[1] 柳晨 王骏[1] 

机构地区：[1]无锡市手外科医院手外科,江苏214062

出　　处：《中华手外科杂志》2017年第5期343-345,共3页Chinese Journal of Hand Surgery

摘　　要：目的探讨小儿手部瘢痕松解术后复发的因素。方法自2013年1月至2016年1月共治疗38例外伤后3个月以上、手部瘢痕挛缩的患儿，先手术松解挛缩瘢痕，术后2-3周常规予瘢痕贴（硅胶）联合压力衣压迫治疗3个月，并同时配合支具治疗至术后6个月。通过患儿年龄、性别、伤口愈合隋况、手术时机、术后物理治疗等因素进行探讨。结果38例患儿术后随访缸9个月，根据TAM手功能评定：优9例，良20例，可4例，差5例。约23．68％的患儿在术后复发不同程度的瘢痕挛缩。结论手术时机的选择和术后系统的康复治疗是影响小儿手部瘢痕松解术后疗效的关键。Objective To investigate the recurrence factors of hand scar contracture release in children. Methods From January 2013 to January 2016, 38 cases of hand scar contracture were treated in our department. They were injured for more than three months. Contracture scar release was performed firstly. Two to three weeks after the operation, scar paste （silica gel） and pressure clothing were used for 3 months. The factors such as age, sex, wound healing, operation time and postoperative physical therapy were analyzed. Results All the patients were follow-up for 6 to 9 months. According to the total active motion （TAM） hand function evaluation, 9 cases were excellent, 20 cases were good, 4 cases were fair, 5 cases were poor. About 23.68% of the children recurred different degree of scar contracture after the operation. Conclusion The operation timing and postoperative rehabilitation are the key factors affecting the clinical effects of hand scar release in children.

关 键 词：儿童 治疗结果 瘢痕挛缩 康复 

分 类 号：R726.5[医药卫生—儿科]