摘要
目的探讨应用不同皮瓣修复手部重度热压伤的疗效.方法1990年1月～2000年12月,对39例各种原因所致手部重度热压伤采用不同皮瓣修复,术后尽早给予综合性康复治疗,比较其疗效.结果术后随访6～12个月,不同皮瓣修复术后手部外形和功能恢复有显著性差异(P<0.05).结论小腿内侧皮瓣和前臂掌侧逆行皮瓣优于腹部带蒂皮瓣,可最大限度地恢复手的外形和功能.
Objective To investigate the therapeutic effects of different skin flaps for repairing severe complex hand injuries with burns and compression. Methods From January 1990 to December 2000, 39 patients with severe complex injuries due to burns and compression in the hand were treated with different skin flaps, followed by early-stage postoperative comprehensive rehabilitation therapy. Results All the patients were followed up for 6 to 12 months, and significant differences were observed in the appearance and function of the repaired hands with different skin flaps. Conclusion The medial skin flap taken from the lower leg and the reverse-flow island flap from the anterior aspect of the forearm, when combined with early postoperative rehabilitation treatment, can achieve good recovery of function and appearance of the injured hand.
出处
《第一军医大学学报》
CSCD
北大核心
2003年第8期784-785,共2页
Journal of First Military Medical University
关键词
热压伤
手部
创伤修复
皮瓣
burn injury, hand
compression injury, hand
complex injuries
wound repair
skin flap
