邻近小型皮瓣修复手指深度烧伤创面

目的探讨邻近小型皮瓣在手指深度烧伤创面中的应用。方法对32例计54指深度烧伤创面彻底清创后选择不同的邻近小型皮瓣转移修复。结果32例54指皮瓣全部成活,其中2指皮瓣静脉回流欠佳肿胀,5指皮瓣下创面清创不彻底致脓性渗出,1指皮瓣转移后该指末端血供差,术后随访4个月~5年,外观满意,功能、感觉良好。结论本法操作简单,缩短病程,减轻痛苦,疗效满意,只要适应证合适,邻近小型皮瓣是修复手指深度烧伤小创面的好方法。

Adjacent Small Skin Flap Appled to Wound Surface of Deep Finger Burn

Objective To discuss the application of adjacent small skin flap to the wound surface of deep finger burn.Methods Thirty-two patients(54 fingers) with deep finger burn wound were treated with transferred adjacent small skin flaps after thorough debridement.Results All the flaps transferrred to the patients survived.Of the 54 fingers,two suffered swelling due to bad venous return,five suffered purulent exudation due to incomplete debridement,and one suffered deficiency in blood supply at the finger ending.According to the follow-up between four months and five years,they came to satisfying appearance,function and sense.Conclusion The application of adjacent small skin flap to the wound surface of deep finger burn is a good approach to the appropriate indications because of its easy operation,short course,less pain and satisfying therapeutic effect.