摘要
目的总结分析湿润烧伤膏联合穿支皮瓣转移修复四肢Ⅲ度烧伤创面的临床疗效。方法给予2021年1月至2023年1月南阳南石医院收治的15例累及四肢的Ⅲ度烧伤患者创面行湿润烧伤膏换药治疗,待肉芽组织生长良好后行穿支皮瓣转移修复,观察创面愈合情况及关节功能恢复情况。结果15例患者创面均完全愈合,愈合时间为35~75 d(平均45.15 d),愈后皮肤遗留轻度增生性瘢痕、关节无明显活动障碍,其中一期愈合12例、二期愈合3例(均出现皮瓣远端少许坏死,经清创、湿润烧伤膏换药治疗后好转)。结论湿润烧伤膏联合穿支皮瓣转移修复四肢Ⅲ度烧伤创面,有利于促进创面愈合及关节功能恢复,疗效满意,值得临床推广应用。
Objective To summarize and analyze the clinical efficacy of MEBO combined with perforator flap transfer in the treatment of third-degree burns on extremities.Methods 15 patients with third-degree burns on extremities,admitted to Nanyang Nanshi Hospital from January 2021 to January 2023,were treated with MEBO dressing change,and the perforator flap transfer was performed when granulation tissues grew well.The wound healing condition and joint function recovery were observed.Results The wounds of all the 15 patients were healed completely,and the healing time ranged from 35 to 75 days,with an average of 45.15 days.Mild hypertrophic scars were observed on healed skin but no obvious joint mobility disorder was found.Primary healing occurred in 12 cases,and secondary healing occurred in 3 cases(all the patients showed minor distal flap necrosis,which then turned better after debridement and MEBO dressing change).Conclusion The combination of MEBO and perforator flap transfer in the treatment of third-degree burns on extremities is conducive to wound healing and joint functional recovery,and the clinical efficacy is definite,deserving to be promoted in clinical practice.
作者
李桂锋
杨洪
杨淑萍
李天宇
王硕
赵俊祥
丁明华
LI Guifeng;YANG Hong;YANG Shuping;LI Tianyu;WANG Shuo;ZHAO Junxiang;DING Minghua(Department of Burns,Nanyang Nanshi Hospital,Nanyang,Henan 473000,China)
出处
《中国烧伤创疡杂志》
2024年第5期358-361,共4页
The Chinese Journal of Burns Wounds & Surface Ulcers
