全厚皮片移植修复患儿手部瘢痕挛缩畸形的效果及预后分析(1)
[摘要]目的：探究全厚皮片移植手术在治疗小儿手部瘢痕挛缩畸形上的康复效果及预后恢复情况。方法：选择2016年3月-2018年1月在笔者医院进行手术治疗的37例手部瘢痕挛缩畸形患儿作为研究对象，所有患儿均采用全厚皮片移植进行修复治疗，观察其修复治疗效果、康复效果及预后恢复情况。结果：37例患儿经全厚皮片移植手术治疗后修复效果良好，皮瓣成活率为100.00%，未见有皮下感染、血肿、皮肤坏死等不良反应发生，手部受累关节部位均得到有效纠正。治疗后3个月，患儿VSS量表评分明显低于治疗前，瘢痕评估结果明显优于治疗前，手部关节活动优良率(75.68%)显著高于治疗前(32.43%)，差异有统计学意义(P<0.05)。治疗后6个月，患儿的手部功能及外观整形恢复优良率为86.49%，明显高于治疗后3个月(48.65%)，差异有统计学意义(P<0.05)。结论：全厚皮片移植手术修复小儿手部瘢痕挛缩畸形效果良好，能够有效改善患儿手部瘢痕挛缩畸形和色素沉着，使其手部关节功能和外形美观程度得到显著提升，值得在临床中推广应用。
[关键词]手部瘢痕；挛缩畸形；全厚皮片移植；手部关节功能；手功能；手部外形
, http://www.100md.com
[中图分类号]R622 [文献标志码]A [文章编号]1008-6455(2018)10-0052-04
Abstract： Objective To research the effect and prognosis of full-thickness skin grafting for children with hand scar contracture deformity. Methods From March 2016 to January 2018， 37 cases of children with hand deformity contracture deformity in our hospital were selected as the research subjects. All children were treated with full-thickness skin grafting， and the effects of repair， and the rehabilitation and prognosis were observed. Results 37 cases were repaired with full-thickness skin graft， and the survival rate was 100.00%. There were no adverse reaction such as subcutaneous infection， hematoma， skin necrosis and so on. 3 months after treatment， the score of VSS was significantly lower than that before treatment， and the result of scar assessment was significantly better than that before treatment， the excellent and good rate of hand joint movement (75.68%) was significantly higher than that before treatment (32.43%)， the differences were statistically significant(P<0.05). 6 months after treatment， the excellent and good recovery rate of hand function and appearance was 86.49%， which was significantly higher than that of 3 months after treatment (48.65%)， the difference was statistically significant(P<0.05). Conclusion Full-thickness skin graft has good effect on the repair of children's hand scar contracture deformity. It can effectively improve the children's hand scars， contracture deformity and pigmentation， so that the function and appearance of the hand are improved significantly.
, 百拇医药
Key words： hand scar； contracture deformity； full-thickness skin graft； joint function of the hand； functional recovery of hand； appearance of hand
瘢痕攣缩畸形作为手部深度烧烫伤愈后最为常见的后遗症[1]，烧烫伤后若不能及时控制瘢痕增生、挛缩，往往会导致手指指骨发育畸形，不仅对手部关节灵活性造成严重影响，其外形也会发生显著变化，手部美观程度大大降低[2-3]，严重的甚至会导致部分手指功能丧失。瘢痕挛缩早期行全厚皮片移植修复治疗，能够有效改善其手部功能，使其瘢痕挛缩部位能够恢复到与周围正常皮肤质地、色泽相近的程度。本研究采用全厚皮片移植对37例手部瘢痕挛缩畸形患儿进行手术修复治疗，取得了较为满意的临床疗效，现报道如下。, http://www.100md.com(刘丽娟 侯丽 龚丽)
[关键词]手部瘢痕；挛缩畸形；全厚皮片移植；手部关节功能；手功能；手部外形
, http://www.100md.com
[中图分类号]R622 [文献标志码]A [文章编号]1008-6455(2018)10-0052-04
Abstract： Objective To research the effect and prognosis of full-thickness skin grafting for children with hand scar contracture deformity. Methods From March 2016 to January 2018， 37 cases of children with hand deformity contracture deformity in our hospital were selected as the research subjects. All children were treated with full-thickness skin grafting， and the effects of repair， and the rehabilitation and prognosis were observed. Results 37 cases were repaired with full-thickness skin graft， and the survival rate was 100.00%. There were no adverse reaction such as subcutaneous infection， hematoma， skin necrosis and so on. 3 months after treatment， the score of VSS was significantly lower than that before treatment， and the result of scar assessment was significantly better than that before treatment， the excellent and good rate of hand joint movement (75.68%) was significantly higher than that before treatment (32.43%)， the differences were statistically significant(P<0.05). 6 months after treatment， the excellent and good recovery rate of hand function and appearance was 86.49%， which was significantly higher than that of 3 months after treatment (48.65%)， the difference was statistically significant(P<0.05). Conclusion Full-thickness skin graft has good effect on the repair of children's hand scar contracture deformity. It can effectively improve the children's hand scars， contracture deformity and pigmentation， so that the function and appearance of the hand are improved significantly.
, 百拇医药
Key words： hand scar； contracture deformity； full-thickness skin graft； joint function of the hand； functional recovery of hand； appearance of hand
瘢痕攣缩畸形作为手部深度烧烫伤愈后最为常见的后遗症[1]，烧烫伤后若不能及时控制瘢痕增生、挛缩，往往会导致手指指骨发育畸形，不仅对手部关节灵活性造成严重影响，其外形也会发生显著变化，手部美观程度大大降低[2-3]，严重的甚至会导致部分手指功能丧失。瘢痕挛缩早期行全厚皮片移植修复治疗，能够有效改善其手部功能，使其瘢痕挛缩部位能够恢复到与周围正常皮肤质地、色泽相近的程度。本研究采用全厚皮片移植对37例手部瘢痕挛缩畸形患儿进行手术修复治疗，取得了较为满意的临床疗效，现报道如下。, http://www.100md.com(刘丽娟 侯丽 龚丽)
参见：首页 > 医疗版 > 疾病专题 > 整形外科 > 瘢痕