腋部烧伤瘢痕挛缩畸形的防治

目的探讨腋部瘢痕挛缩的防治方法。方法1996年5月~2006年5月对57例64侧腋部瘢痕挛缩患者切除瘢痕彻底松解挛缩,应用整形原则行五瓣法、局部皮瓣法、轴型皮瓣法、皮片移植法治疗。结果64侧皮瓣全部成活,优53侧,良8侧,差3侧,优良率95.3%。3侧植断层皮患者发生不同程度的挛缩,其中1侧再次手术。结论对腋部烧伤瘢痕挛缩畸形应根据病情不同,选择不同的方法,首先考虑应用皮瓣修复;术后要加强康复训练。

Prevention and Treatment of Axillary Deformity Caused by Cicatricial Contracture

Objective To explore the treatment of axillary deformity caused by post-burn cicatricial contracture.Method Fifty-seven patients(64 laterals) with axillary cicatricial contracture underwent cicatricial excision and contracture disentangled adequately,including methods such as the penta-flap,local flap,axial skin flap and skin flap grafting.Results All flaps were survived,the eutherapeutic rate was 95.3%(excellent in 53 sides,good in 8 sides and fair in 3 sides).Cicatricial contracture reoccurred in three sides underwent split-thickness skin grafting,and 1 received reoperation.Conclusions In treatment of axillary deformity of cicatricial contracture,skin flap repair could be the first choice in different methods according to deformities.Rehabilitation and functional exercise would be reinforced postoperatively.