Hu Dahai, Yi Nan
Burn Center of PLA, Department of Burns and Cutaneous Surgery, Xijing Hospital, the Fourth Military Medical University, Xi'an 710032, China.
Zhonghua Shao Shang Za Zhi. 2014 Dec;30(6):469-71.
In the wound healing process after a deep burn injury, improper treatment in the early stage and lack of functional rehabilitation measures in the late stage usually lead to hyperplastic scar, joint contracture, synarthrophysis, and other deformities. All of them may result in cosmetic and functional impairments, loss of work ability, poor life quality, and even psychopathy of the patients. Thus, the improvement in rehabilitation methods and the maximal recovery of appearance and functions have drawn intense attention. This article mainly discusses the prevention, systematic treatment principles and methods for the hyperplastic scar and scar contracture, as well as the problems need to be solved in burn rehabilitation, based on the introduction of the new advancement in the rehabilitation techniques.
在深度烧伤后的伤口愈合过程中,早期治疗不当以及后期缺乏功能康复措施通常会导致增生性瘢痕、关节挛缩、关节融合等畸形。所有这些都可能导致患者出现外观和功能障碍、工作能力丧失、生活质量差,甚至心理疾病。因此,康复方法的改进以及外观和功能的最大程度恢复已引起广泛关注。本文在介绍康复技术新进展的基础上,主要探讨增生性瘢痕和瘢痕挛缩的预防、系统治疗原则和方法,以及烧伤康复中需要解决的问题。