Sawhney C P
Plast Reconstr Surg. 1983 Dec;72(6):837-42. doi: 10.1097/00006534-198312000-00019.
Burns of the perineum are rare but very disabling. The author's experience in managing six such cases, 3 males and 3 females, age 8 to 17 years, is discussed. These burns occurred following overspilling of kerosene onto trousers while lighting a stove or as a result of a stove explosion. The treatment is aimed at release of the scar contracture and restoration of genitals to their normal position. An attempt is made to provide full-thickness skin cover in front of pubis by wide undermining of lower abdominal skin and advancing it downward. If, however, the abdomen is scarred, the whole of the resultant raw area is covered with thick split-skin graft. Graft contracture is prevented by advising tightly fitting underwear incorporating a wide elastic band sited over the inguinal furrow between the thighs and perineum.
会阴烧伤虽罕见但致残性很强。本文讨论了作者处理6例此类病例的经验，其中男性3例，女性3例，年龄在8至17岁之间。这些烧伤是在生火时煤油溢出到裤子上或炉灶爆炸所致。治疗旨在松解瘢痕挛缩并使生殖器恢复到正常位置。通过广泛潜行分离下腹部皮肤并将其向下推进，试图在耻骨前方提供全厚皮覆盖。然而，如果腹部有瘢痕，则整个创面用厚中厚皮片覆盖。通过建议穿着紧身内衣来预防植皮挛缩，内衣在大腿和会阴之间的腹股沟沟处设有宽弹性带。
