颈部瘢痕挛缩242例综合治疗的体会

颈前皮肤菲薄活动性大,深度烧伤后常因瘢痕挛缩而引起不同程度的功能障碍和形体畸形,及时正确的整复外科治疗,是恢复其颈部形态与功能的关键。而术后颈部再挛缩的预防也是不可忽视的问题。现就242例颈部瘢痕挛缩的手术方法及术后防治再挛缩所作的综合治疗谈些体会。本组大张中厚及全厚植皮154例,占总病例数的一半以上,故我们原则上以中厚植皮为主要治疗手段,加上术后丹参瘢痕霜及硅胶膜的综合应用。

COMBINED TREATMENT OF SCAR CONTRACTURE AT THE NECK AND AN ANALYSIS OF 242 CASES

Various degrees of functional disorder of the posterior cervical skin is caused by scar contracmre after se- vere burns for it is thin and active.If it occurs in children,the common results are ectropium of the lower lip and de- formity of the spine.Therefore,timely and appropriate plastic surgery is crucial for recovery of the cervical functions. Meanwhile,the occurrence of cervical scar recontracture is also so common that combined treatment is extremely im- portant for maintain the achievement postoperatively.This paper,on the basis of the previous researches,summarized the operational method used in treating cervical scar contracture and combined treatment to avoid postoperative re- contracture in 242 patients and briefly introduced our experience.Skin grafting with large medium-and full- thickness skin flaps was undergone in 154 patients(>50%).We propose that Danshen Banheng Shuang(apaste made of Radikx Salviae Mihiorrhizae to treat scars)in combination with silicea film be used after skin grafting with large medium-and full-thickness skin flaps.