烧伤后手部残缺畸形的修复

自１９８７年收治烧伤后手部残缺畸形４６例。分类为手指残缺畸形、拳状粘连、僵直挛缩畸形，多数丧失手的功能。入院后通过进行瘢痕切除，松解挛缩组织，加深虎口，创面移植皮片或皮瓣等外科整复治疗，基本上使手获得相应功能，但一次进行手术综合修复，往往不能达到理想地功能恢复。必须在整形治疗基础上。患者、家属和医生密切合作，以便使综合治疗彻底进行。

The Repair of Incomplete Deformity of Hand Caused by Burn Department of Burn and Plastic Surgery,First Hospital of Qiqihar

Since 1987,we have treated 46 cases of incomplete deformities of hand caused by burn. These deformities were classified as the incomplete deformity of fingers,fist-like adhesion and rigidity and contracture deformity. The most patients had a function of their burned hands. The combined surgery treatment included excision of these ears,reluxation of theeon trature tissues,deepening Hukuo,and grafting the skin flep or skin graft to the wound,so as to enable the burned hand to obtain corresponding functions,but the restore of hand functions was usually not satisfactory. According to our experience to obtain the most ideal cure effect,attention must also bepaid to following three factors:①to insist to the plastic treatment.②to achieve the close cooperation between the doctor,family members and patient.③to carry the course of treatment through to the end.