Department of Burns and Plastic Surgery, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, China.
J Burn Care Res. 2022 Jan 5;43(1):269-276. doi: 10.1093/jbcr/irab083.
The incidence of pediatric treadmill hand friction burns has been increasing every year. The injuries are deeper than thermal hand burns, the optimal treatment remains unclear. This was a retrospective study of children who received surgery for treadmill hand friction burns from January 1, 2015, to December 31, 2019, in a single burn center. A total of 22 children were surveyed. The patients were naturally divided into two groups: the wound repair group (13 patients), which was admitted early to the hospital after injury and received debridement and vacuum sealing drainage initially, and a full-thickness skin graft later; and the scar repair group (nine patients), in which a scar contracture developed as a result of wound healing and received scar release and skin grafting later. The Modified Michigan Hand Questionnaire score in the wound repair group was 116.31 ± 10.55, and the corresponding score in the scar repair group was 117.56 ± 8.85 (p > .05), no statistically significant difference. The Vancouver Scar Scale score in the wound repair group was 4.15 ± 1.21, and the corresponding score in the scar repair group was 7.22 ± 1.09 (p < .05). Parents were satisfied with the postoperative appearance and function of the hand. None in the two groups required secondary surgery. If the burns are deep second degree, third degree, or infected, early debridement, vacuum sealing drainage initially, and a full-thickness skin graft can obviously relieve pediatric pain, shorten the course of the disease, and restore the function of the hand as soon as possible.
儿科跑步机手摩擦烧伤的发病率逐年上升。这些损伤比热手烧伤更深，最佳治疗方法仍不清楚。这是对 2015 年 1 月 1 日至 2019 年 12 月 31 日在一家烧伤中心接受跑步机手摩擦烧伤手术的儿童进行的回顾性研究。共调查了 22 名儿童。患者自然分为两组：伤口修复组（13 例），受伤后早期住院，初期行清创和真空密封引流，后期行全厚皮片移植；和瘢痕修复组（9 例），由于伤口愈合导致瘢痕挛缩，后期行瘢痕松解和植皮。伤口修复组的改良密歇根手问卷评分（Modified Michigan Hand Questionnaire score）为 116.31±10.55，瘢痕修复组为 117.56±8.85（p＞0.05），无统计学差异。伤口修复组温哥华瘢痕量表评分（Vancouver Scar Scale score）为 4.15±1.21，瘢痕修复组为 7.22±1.09（p＜0.05）。家长对手的术后外观和功能满意。两组均无需二次手术。如果烧伤为深二度、三度或感染，早期清创、真空密封引流和全厚皮片移植可明显减轻儿童疼痛，缩短病程，尽快恢复手部功能。
