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目的:研究早期整形手术治疗手部深度烧伤的具体方法和治疗效果。方法:对我院2009年1月至2009年12月收治的110例手部深度烧伤患者采取早期整形手术的临床资料进行分析。结果:术后所有患者创面达到Ⅰ期愈合,术后未出现并发症,皮瓣及植皮均成活良好,达到供区Ⅰ期愈合。经过对143手实行6个月～5年的随访,有102手完全治愈,21只手为显效,13只手为有效,7只手为无效,总有效率达到95.1%。结论:对于手部烧伤的患者,特别是那些出现深度烧伤患者,更应及早采取早期整形修复手术,以获得最佳治疗时机,使手部功能及外观均得到很好的恢复。
Objective: To study the specific methods and therapeutic effects of early plastic surgery for the treatment of deep hand burns. Methods: The clinical data of 110 patients with hand deep burn admitted to our hospital from January 2009 to December 2009 were analyzed. Results: The wounds of all the patients achieved primary healing after operation. No postoperative complications occurred. The flaps and skin grafts survived well and reached the first phase of donor site healing. After 143 hands were followed up for 6 months to 5 years, 102 hands were completely cured, 21 hands were markedly effective, 13 hands were effective, 7 hands were ineffective, and the total effective rate was 95.1%. Conclusion: For patients with hand burns, especially those with deep burns, early plastic surgery should be taken early to obtain the best timing of treatment and to restore the function and appearance of the hand well.