Han J T, Li J, Gao X W, Jia W B
Burn Centre of PLA, Department of Burns and Cutaneous Surgery, Xijing Hospital, Air Force Medical University, Xi'an 710032, China.
Zhonghua Shao Shang Za Zhi. 2018 Aug 20;34(8):513-515. doi: 10.3760/cma.j.issn.1009-2587.2018.08.006.
To investigate the effects of ultrathin abdomen flap in repairing deep electric burn wounds in finger of pediatric patients. A total of 14 pediatric patients with simple electric burns in finger were admitted to our unit from March 2013 to October 2017. Six patients had electric burns in one finger, 5 patients had electric burns in two fingers, and 3 patients had electric burns in three fingers. The size of wounds in single finger ranged from 2.0 cm×1.0 cm to 3.5 cm×2.0 cm. After complete preoperative examination, wounds debridement and ultrathin abdomen flap repair operation were performed on 3 to 6 days post injury. Six pediatric patients were treated with abdominal random flap, 4 patients were treated with inferior epigastric artery paraumbilical perforator bilobed flap, and the other 4 patients were treated with superficial circumflex iliac artery bilobed flap. The size of flaps ranged from 4.0 cm×2.0 cm to 8.0 cm×4.0 cm. The donor sites were sutured directly. The flaps of 14 pediatric patients survived well after operation, and no flap showed blood supplying disorder. During follow-up of 3 to 24 months, the appearance and function of fingers were good, and the donor sites recovered well, with no cicatrix contracture deformity. The ultrathin abdomen flap is one of the good choices for repairing deep electric burn wounds in finger of pediatric patients.
探讨超薄腹部皮瓣修复小儿手指深度电烧伤创面的效果。2013年3月至2017年10月，我科共收治14例单纯手指电烧伤患儿。其中，单指电烧伤6例，双指电烧伤5例，三指电烧伤3例。单指创面大小为2.0 cm×1.0 cm至3.5 cm×2.0 cm。完善术前检查后，于伤后3至6天进行创面清创及超薄腹部皮瓣修复手术。其中6例患儿采用腹部随意皮瓣治疗，4例采用腹壁下动脉脐旁穿支双叶皮瓣治疗，另外4例采用旋髂浅动脉双叶皮瓣治疗。皮瓣大小为4.0 cm×2.0 cm至8.0 cm×4.0 cm。供区直接缝合。14例患儿术后皮瓣全部成活，无皮瓣血运障碍。随访3至24个月，手指外观及功能良好，供区恢复良好，无瘢痕挛缩畸形。超薄腹部皮瓣是修复小儿手指深度电烧伤创面的较好选择之一。
