摘要
目的总结和探讨手部瘢痕挛缩畸形的手术治疗和临床效果。方法1995年6月～2001年6月,我们对68例手部瘢痕挛缩进行手术治疗,彻底切除和松解瘢痕,应用皮瓣或植皮修复创面,其中皮瓣(包括Z成形)46例,植皮22例。结果皮瓣组有2例出现皮瓣远端坏死;植皮组全部成活。60例病人获得随访,随访时间6个月～3年,再次发生瘢痕挛缩者4例,均为植皮组;皮瓣组中有2例因外观臃肿而行整形术。病人手功能及外观较为满意,总优良率达78.3%。结论选择适当手术时机、正确的修复方法及术后早期、有效的功能锻炼,是取得良好疗效的重要因素。
Objective To explore the operative treatment and clini ca l effects of scar contracture of hand.Meth ods From June1995to June20 01,surgical treatment was performed in68patients with scar contracture of hand.The aims of treatment were to restore function and to rectify deformit y.The following procedures were performed:scar excision,web space correction ,skin grafting or flap reconstruction.The flaps including Z plasty were perfo rmed in46cases,free skin grafting in22cases.Results Sixty patients were fo llowed up from6months to3years.All cases were obtained primary healing except 2cases founded necrosis at the edge of flaps.Excellent functional and cosme tic results were observed in all cases except 4cases appear recurrent scar con trac ture in the group of free skin grafting,superior rate was78.3%.Con clusion In proper period,choosing appropriate surgical technique,the surgical treatment for scar contracture of hand will produce satisfactory results.The adequate position immo bilizing and the effective functional training are the i mportant factors to protect hand function.
出处
《实用手外科杂志》
2003年第1期23-24,共2页
Journal of Practical Hand Surgery
