Shen Y M
Department of Burns, Beijing Jishuitan Hospital, Beijing 100035, China.
Zhonghua Shao Shang Za Zhi. 2019 Jun 20;35(6):401-404. doi: 10.3760/cma.j.issn.1009-2587.2019.06.001.
Although burn treatment technology has been greatly improved, the number of patients with hypertrophic scar contracture deformities after burn has not decreased significantly. Some patients still have severe deformities, which not only affect the appearance, but also lead to different degrees of dysfunction. Surgery is still dominant for treating hypertrophic scar contracture deformity. In addition to skin grafting, flaps, especially expanded flaps (perforator flaps), expanded free flaps (perforator flaps), and prefabricated flaps etc. are more frequently used in functional and exposed areas after scar excision, in order to achieve perfect repair and reduce donor site damage. The treatment of scar contracture deformity should take into account the rehabilitation after operation on the basis of active operation, so as to achieve the unity of shape and function.
尽管烧伤治疗技术有了很大提高,但烧伤后增生性瘢痕挛缩畸形患者的数量并未显著减少。一些患者仍有严重畸形,不仅影响外观,还导致不同程度的功能障碍。手术仍是治疗增生性瘢痕挛缩畸形的主要方法。除了植皮外,皮瓣,尤其是扩张皮瓣(穿支皮瓣)、扩张游离皮瓣(穿支皮瓣)和预制皮瓣等,在瘢痕切除后的功能和暴露部位更频繁使用,以实现完美修复并减少供区损伤。瘢痕挛缩畸形的治疗应在积极手术的基础上考虑术后康复,以实现形态与功能的统一。