| 烧伤后下肢严重瘢痕挛缩的治疗 |
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| 引用本文： | 鲁开化,郭树忠,艾玉峰,马显杰. 烧伤后下肢严重瘢痕挛缩的治疗[J]. 中华烧伤杂志, 2004, 20(2): 69-71 |
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| 作者姓名： | 鲁开化 郭树忠 艾玉峰 马显杰 |
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| 作者单位： | 710032 西安,第四军医大学西京医院全军整形外科中心 |
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| 摘 要： | 目的 总结烧伤后下肢严重瘢痕挛缩的临床治疗经验。 方法 视挛缩程度切除 6 0例烧伤后下肢严重瘢痕挛缩患者的、踝部瘢痕组织 ,用牵引、植皮等方法修复挛缩畸形。 结果 本组患者通过持续牵引、植皮后 ,患部活动功能均获得恢复。 结论 严重关节挛缩畸形的患者采用瘢痕切开松解、持续牵引的方法治疗 ,无需行肌腱移植与延长术 ,功能恢复良好。
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| 关 键 词： | 烧伤 瘢痕 挛缩 牵引术 |
| 修稿时间： | 2002-10-20 |
Management of severe postburn scar contracture in the lower extremities |
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| LU Kai-hua,GUO Shu-zhong,AI Yu-feng,MA Xian-jie. Management of severe postburn scar contracture in the lower extremities[J]. Chinese journal of burns, 2004, 20(2): 69-71 |
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| Authors: | LU Kai-hua GUO Shu-zhong AI Yu-feng MA Xian-jie |
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| Affiliation: | Department of Plastic Surgery, Xijing Hospital, The Fourth Military Medical University, Xi'an 710032, P. R. China. |
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| Abstract: | Objective To summarize the clinical experience in the management of severe postburn scar contracture in the lower extremities. Methods The scars in popliteal fossa and ankle joint were excised. Traction and skin grafting were employed in the management of contracture deformity in these areas. Results Severe postburn scar contracture deformity in sixty postburn patients could be corrected by constant traction and skin grafting. Conclusion Scar excision and lysis with constant traction might be an optimal method in the management of severe postburn scar contracture deformity of joints in the lower extremities and satisfactory results could be obtained without tendon grafting and elongation. |
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| Keywords: | Burn Cicatrix Contracture Traction |
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