【摘 要】目的：比较手部深度烧伤创面早期及晚期切削痂植皮手术的治疗效果。方法：本研究的研究对象来自2015年6月～2018年6月在我院外科治疗的67例(80只手)手部深度烧伤患者，将其分为试验组与对照组，各40只手；试验组和对照组分别采用早期、晚期切削痂植皮术治疗，比较两组术后植皮成活率、感染率、VAS评分以及6个月后的手部外观和活动情况的优良率。结果：试验组植皮成活率和6个月后的手部外观和活动情况的优良率均高于对照组(P<0.05)，感染率和VAS评分低于对照组(P<0.05)。结论：对手部烧伤患者行早期切削痂植皮术可有效提高植皮成活率，改善患者的手部外观和活动情况。

    【关键词】手部；烧伤；切削痂植皮手术

    Clinical comparative study of early cutting sputum and advanced cutting sacral skin grafting in deep burn wounds of hand

    Abstract：Objective To compare the therapeutic effects of early and late cutting of sputum skin grafting in deep burn wounds of the hand.Methods：The study subjects were from 67 patients (80 hands) with deep hand burns treated in our hospital from June 2015 to June 2018.They were divided into experimental group and control group ......