袁家德 姜杰 赵静 边曦 刘虎 柯家祥 朱志军 李宁

    [摘要]目的：探讨特重度烧伤患者在身体无法提供大片中厚皮片或全厚皮片时用刃厚头皮皮片移植联合弹力套压迫治疗手背部深度烧伤的疗效。方法：选择近8年笔者科室收治的6例特重度烧伤伴手背部深度烧伤的患者为研究对象，患者烧伤面积均大于80%，采用早期切削痂移植刃厚头皮并在植皮成活后尽早戴弹力套压迫术区或全手部，术后随访3～32个月，觀察患者手部疗效。结果：6例患者中1例患者手部因削痂后基底血供较差导致植皮成活率较低，待创面肉芽组织生长再次植皮治疗后创面愈合，创面瘢痕增生较明显；其他5例患者手部均植皮成活良好，瘢痕增生不明显，远期随诊手功能无明显障碍。结论：对于身体无法提供大片中厚或全厚皮片的特重度烧伤患者，早期使用刃厚头皮皮片移植联合弹力套压迫治疗手背部深度烧伤，是简单有效的治疗方法，可以取得良好的远期效果。

    [关键词]刃厚头皮皮片；弹力套压迫；特重度烧伤；手背部深度烧伤；移植

    [中图分类号]R622+.1? ? [文献标志码]B? ? [文章编号]1008-6455(2023)06-0041-03

    Clinical Observation on the Treatment of the Deep Burn on the Back of the Hand of Patients with Extremely Severe Burn by Scalp Epidermal Skin Graft and Elastic Sleeve Compression

    YUAN Jiade1，JIANG Jie2，ZHAO Jing1，BIAN Xi1，LIU Hu1，KE Jiaxiang1，ZHU Zhijun1，LI Ning1

    (1.Department of Burn and Plastic Surgery，Qingdao Municipal Hospital，Qingdao 266011，Shandong，China; 2.Department of General Surgery，Jimo Second People's Hospital，Qingdao 266214，Shandong，China)

    Abstract： Objective? To explore the efficacy of scalp epidermal skin graft combined with elastic sleeve compression in the treatment of deep burn on the back of hand in patients with extremely severe burn when the body cannot provide large medium or full thickness skin graft. Methods? Six cases of extremely severe burns with deep burns on the back of the hands treated in the author's department in the past 8 years were selected as the study objects ......