应用皮瓣修复手部重度热压伤112例

目的　探讨应用皮瓣修复手部重度热压伤的疗效。方法　 1989年 1月～ 1998年 12月 ,对 112例各种原因所致手部重度热压伤采用各种皮瓣修复 ,皮瓣最小 6 cm× 8cm ,最大 12 cm× 18cm ,术后尽早给予综合性康复治疗。结果　术后各种皮瓣全部成活。随访到 6 6例 ,时间 6～ 12个月 ,皮瓣颜色、质地均佳 ,外形和功能恢复满意。结论　根据不同的创面选择相应的皮瓣修复手部热压伤 ,并结合早期综合性康复治疗 ,可最大限度地恢复手的外形和功能

EXPERIENCE OF APPLICATION OF SKIN FLAP IN REPAIRING 112 PATIENTS WITH SEVERE THERMO PRESSURE INJURY OF HAND

OBJECTIVE: To investigate the clinical effect of skin flaps repairing severe thermopressure injury of hand. METHODS: From January 1989 to December 1998, 112 patients with severe thermopressure injury of hand were repaired by various skin flaps transfer, the size of skin flaps was 6 cm x 8 cm to 12 cm x 18 cm. Postoperative patients were treated by combined rehabilitation in early stage. RESULTS: All the flaps were survived with satisfactory effect. Sixty-six patients were followed up 6 to 12 months, skin flaps all showed better colour and texture, and function of the hand was satisfactory. CONCLUSION: Different skin flaps are adopted to repair severe thermopressure injury of the hand according to different skin defects of the hand, combined early rehabilitation treatment, to achieve good recovery of function and appearance of the hand to the greatest extent.